NPI | 1528456621 |
---|---|
Entity Type | Organization |
Authorized Contact | MAGALI TELLEZ BLANCAS Lpn 757-709-5072 |
Organization Subpart ? | No |
Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: DE L2-0012396) |
Enumeration Date | 2014-12-26 |
Last Update Date | 2014-12-26 |