Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family Health |
364SF0001X | 89 | Certified Clinical Nurse Specialist |
| NPI Number | 1962800144 |
| LBN Legal business name | CHARM CITY HOUSE CALLS |
| Authorized official | DORIAN FRACKELTON - (OWNER/NURSE PRACTITIONER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/19/2014 |
| Last updated | 12/19/2014 - About 11 years ago |
| Identifiers | n/a |
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CHARM CITY HOUSE CALLS
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