NPI | 1073169967 |
---|---|
Other Name | CHAN SOON-SHOING MED CTR |
Entity Type | Organization |
Authorized Contact | KALYNN KEREKES Credentialing 814-535-2277 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2019-08-15 |
Last Update Date | 2019-08-15 |