NPI | 1356892681 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER L PREZIOSO Owner 330-637-0348 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH 36-003502) |
Enumeration Date | 2016-10-21 |
Last Update Date | 2016-10-21 |