Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Student Health |
261QS1000X |
| NPI Number | 1124834973 |
| LBN Legal business name | GEORGE STEVENS ACADEMY SBWC |
| Authorized official | ANDREA LOPEZ - (VOLUNTEER-STUDENT HEALTH SERVICES) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 12/06/2024 |
| Last updated | 12/06/2024 - More than a year ago |
| Identifiers | n/a |
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