| NPI | 1417191636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL E. VILLALOBOS Owner 419-756-1125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: OH 34005536) |
| Enumeration Date | 2009-05-01 |
| Last Update Date | 2009-05-01 |