| NPI | 1053861369 |
|---|---|
| Doing Business As | MACHUCA MEDICAL |
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN MACHUCA Md/ Solo Physician 937-795-1101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 92123) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2024-05-16 |