| NPI | 1437660057 |
|---|---|
| Doing Business As | IHA RESTORATION VEIN CARE |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA A ELLIOTT Iha President & COO 734-747-6766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2017-10-23 |