| NPI | 1275872889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALENCIA NICHOLAS Hr Manager 267-513-1722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA PN293125) |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2013-02-04 |