| NPI | 1558421420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNON A VALENTINO Owner 337-501-6611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA 18323) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2015-08-18 |