| NPI | 1013112630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHOLOUD KHALIL WISHAH Owner 440-541-3081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: OH 35076434) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2013-11-21 |