| NPI | 1417221219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOSTADINKA HADZIJSKA SKANDEVA Owner 571-480-8480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: VA 0103301045) |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2013-02-20 |