| NPI | 1215281217 |
|---|---|
| Doing Business As | LATIN AMERICAN FAMILY MEDICAL CLIMIC |
| Entity Type | Organization |
| Authorized Contact | MARITZA RODRIGUEZ FORESTIER Clinic Manager/Owner 704-563-5007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2012-10-30 |