NPI | 1255893277 |
---|---|
Entity Type | Organization |
Authorized Contact | ADANNA AMANZE Owner 229-226-8800 |
Organization Subpart ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine |
Enumeration Date | 2019-04-01 |
Last Update Date | 2019-04-01 |