NPI | 1104095611 |
---|---|
Entity Type | Organization |
Authorized Contact | TRACEY GIAMBRONE Owner 775-786-5333 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: NV 2060) |
Enumeration Date | 2008-02-28 |
Last Update Date | 2008-03-13 |