Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice |
| NPI Number | 1144753096 |
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| LBN Legal business name | ACE MEDICAL SERVICES LLC | ||||||||
| Authorized official | KATRINA SMITH - (ADMIN) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 04/07/2017 | ||||||||
| Last updated | 04/07/2017 - About 9 years ago | ||||||||
| Identifiers |
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ACE MEDICAL SERVICES LLC
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