LIZA DE OLAZO BANAAG, M. D., P. A.

GRENADA, MS
NPI1558497040
Entity TypeOrganization
Authorized ContactLIZA DE OLAZO BANAAG
Owner
832-646-5492
Organization Subpart ?No
Primary Taxonomy2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine
(Licence: MS  19748)
Enumeration Date2007-02-26
Last Update Date2008-01-25
Business Address
LIZA DE OLAZO BANAAG, M. D., P. A.
965 J K AVENT DR SUITE 100-A
GRENADA, MS 38901-5045
Phone number: 662-227-7446
Mailing Address
LIZA DE OLAZO BANAAG, M. D., P. A.
PO BOX 2329
GRENADA, MS 38902-2329
Phone number: 832-646-5492