| NPI | 1528181880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY GRACE KAKEMBO President 419-675-3394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0042217) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |