NPI | 1093198673 |
---|---|
Entity Type | Organization |
Authorized Contact | CRISELDA CUETO DE LUNA President 248-703-1711 |
Organization Subpart ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 470417987) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501006363) |
Enumeration Date | 2015-07-01 |
Last Update Date | 2015-07-01 |