| NPI | 1487326302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATTY PITERA Owner 603-540-6768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center Infusion Therapy |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2021-09-30 |