| NPI | 1235671926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA ANGELICA MARASIGAN LUPISAN Office Manager 330-484-1607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2016-11-11 |
| Last Update Date | 2022-08-17 |