| NPI | 1235520982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THARWAT GHATTAS Owner 318-207-3206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: LA 206802) |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2015-03-03 |