| NPI | 1306122882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISIS MARITZA D'ANGELO-NORMANDIN Administrator 786-360-5472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2013-02-28 |