NPI | 1033345889 |
---|---|
Former Legal Business Name | ROCHESTER LIFESTYLE CHANGE & HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | SAMSON K KPADENOU President 586-731-7250 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 33869) |
Enumeration Date | 2009-06-08 |
Last Update Date | 2014-04-30 |