NPI | 1134641228 |
---|---|
Doing Business As | TRINA HEALTH OF MT. LAUREL |
Doing Business As | TRINA DIABETES HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | DEANE' WALLACE Credentialing Specialist 916-571-9041 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist |
Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
Enumeration Date | 2017-07-11 |
Last Update Date | 2017-07-18 |