NPI | 1023528015 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN LIBER MOSQUERA CASTRO Prosthetist/President 562-373-8667 |
Organization Subpart ? | No |
Primary Taxonomy | 224P00000X Prosthetist (Licence: TX 1774) |
Enumeration Date | 2017-10-04 |
Last Update Date | 2017-10-04 |