NPI | 1194099101 |
---|---|
Other Name | VARONA FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | GUILLERMO D VARONA Sole Proprietor 262-251-9260 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 20708) |
Enumeration Date | 2012-03-08 |
Last Update Date | 2012-03-29 |