NPI | 1154586972 |
---|---|
Other Name | MARILYN LLAVONA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1093) |
Additional Taxonomies | 208D00000X General Practice (Licence: PR 17207) |
Enumeration Date | 2008-07-21 |
Last Update Date | 2025-01-13 |