Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner |
| NPI Number | 1396149092 |
| LBN Legal business name | ARCANE HEALTH CARE, LLC |
| Authorized official | PAUL GAY - (MANAGER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/09/2014 |
| Last updated | 10/09/2014 - About 12 years ago |
| Identifiers | n/a |
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ARCANE HEALTH CARE, LLC
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