| NPI | 1477586139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODRIGO GOMEZ-CORDERO Owner 402-379-8717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NE 15892) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2012-04-27 |