| NPI | 1427428440 |
|---|---|
| Former Legal Business Name | INNOVATIONS ROCKVILLE |
| Entity Type | Organization |
| Authorized Contact | LOUIE BALINAO Or Manager 443-574-4125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2017-01-04 |