| NPI | 1104399799 |
|---|---|
| Other Name | CENTRO VACUNACION FAMILIAR VIDA |
| Entity Type | Organization |
| Authorized Contact | NORIANN RIVERA Administrator 347-673-3037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2019-01-07 |