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 |