NPI | 1992455125 |
---|---|
Doing Business As | OLIVE BRANCH MEDICAL PLLC |
Entity Type | Organization |
Authorized Contact | ALVAREZ FINETTE Owner 903-399-0794 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2022-03-29 |
Last Update Date | 2022-03-29 |