| NPI | 1679654206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRETCHEN BECK Owner 434-977-6673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: VA 0101225810) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2010-08-16 |