NPI | 1306242805 |
---|---|
Other Name | ODALYS MARIA GONZALEZ MAREY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: FL ME143400) |
Additional Taxonomies | 208D00000X General Practice (Licence: PR 18932) |
208D00000X General Practice (Licence: FL ACN665) | |
Enumeration Date | 2014-11-10 |
Last Update Date | 2021-11-28 |