Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Community Health |
261QC1500X |
| NPI # | 1295211340 |
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| LBN Legal business name | RIP & SNORT HEALTHCARE, LLC | ||||
| Authorized official | DEVONNA JOHNSON - (PROVIDER/ADMINISTRATOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 07/12/2018 | ||||
| Last updated | 11/15/2023 - About 3 years ago | ||||
| Identifiers |
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