| NPI | 1992240477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASIMINE VINES CEO 330-689-9544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.15979) |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2017-04-26 |