NPI | 1215523832 |
---|---|
Entity Type | Organization |
Authorized Contact | LEIZYL ESTRADA RACION RN 209-205-1126 |
Organization Subpart ? | No |
Primary Taxonomy | 163WD1100X Registered Nurse, Dialysis, Peritoneal |
Additional Taxonomies | 251K00000X Public Health or Welfare |
Enumeration Date | 2020-12-17 |
Last Update Date | 2020-12-17 |