| NPI | 1982939583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BICH NGOC CHAU Owner 402-805-4154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NE 19420) |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2009-10-15 |