| NPI | 1639698269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL NAKAYAMA Owner 386-872-2929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL CH12049) |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2021-10-04 |