| NPI | 1972258218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TELIYA ZYAMBO Owner/Nurse Practitioner 407-221-3678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-02-15 |
| Last Update Date | 2022-02-15 |