NPI | 1093798092 |
---|---|
Former Name | ETHELYNDA A JAOJOCO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: CA A83749) |
Enumeration Date | 2005-11-22 |
Last Update Date | 2015-03-27 |