NPI | 1013425859 |
---|---|
Doing Business As | RIVER VALLEY FAMILY CLINIC |
Entity Type | Organization |
Authorized Contact | FREDERICK JOSEPH FUOCO Member 504-495-6772 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2018-01-15 |
Last Update Date | 2018-01-15 |