| NPI | 1366631558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS J GIOMPALO Provider / Owner 304-523-3749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WV 22611) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2007-10-24 |