| NPI | 1376191148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA CHRISTINA EYSSALLENNE Managing Member 310-505-7717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2019-08-26 |