| NPI | 1649323213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISCILLA LIZELLE HERNANDO TANGUNAN President 501-623-6161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR C-8539) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2011-11-08 |