| NPI | 1134212970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN GUMABON CANLAS Administrator 301-927-8808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: MD E2614) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-08-16 |