| NPI | 1669915500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA N PATAROZZI Lpn 740-751-9463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OH LPN.156692.MED-IV) |
| Enumeration Date | 2016-11-27 |
| Last Update Date | 2016-11-27 |