NPI | 1649662362 |
---|---|
Doing Business As | PACIFIC PODIATRY |
Entity Type | Organization |
Authorized Contact | VALERIE VALDIVIESO-DIAZ Owner 867-531-9780 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: FL PO 3419) |
Enumeration Date | 2015-03-04 |
Last Update Date | 2025-08-01 |