| NPI | 1992849350 |
|---|---|
| Other Name | LA CLINICA |
| Entity Type | Organization |
| Authorized Contact | LAURA JANE HANNA-BERGEN Women's Health Nurse Practitioner 515-266-4825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: IA F-100358) |
| Additional Taxonomies | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2020-08-22 |