| NPI | 1568801967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORAZON CARDENO ESPELETA President 615-575-1079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TN 34085) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2013-06-18 |