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 |