| NPI | 1447601489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA ALVAREZ Billing Supervisor 844-865-5677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: CA 87291) |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2016-06-30 |