| NPI | 1447681754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONIA E MALDONADO Director 7878-541-8244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 703) |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2013-12-12 |