| NPI | 1275009805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAQUEL NATAL Managing Mbr 862-304-0868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2018-10-22 |