| NPI | 1144740739 |
|---|---|
| Doing Business As | TRINA HEALTH OF MT. LAUREL |
| 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 | 2017-06-23 |
| Last Update Date | 2017-07-18 |