| NPI | 1184824161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT RICHARD PESCITELLI Owner 239-939-1999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: GA ARNP3194502) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2007-07-19 |