| NPI | 1225209158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REJANE LISBOA Owner And Only Member 615-333-0330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TN 36145) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2008-03-19 |