| NPI | 1982195061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRYL ESPINOZA-WADE Billing Manager 678-964-5234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WC0400X Registered Nurse, Case Management |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2018-05-23 |