| 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 |