| NPI | 1063145894 |
|---|---|
| Former Legal Business Name | RAGLAYIM, LLC |
| Entity Type | Organization |
| Authorized Contact | MARNI BRODER Podiatrist 732-978-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Enumeration Date | 2022-07-08 |
| Last Update Date | 2022-10-27 |