NPI | 1679890644 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIA LOURDES DE LOS SANTOS MARA President 619-475-5411 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: A51864) |
Enumeration Date | 2010-04-29 |
Last Update Date | 2011-03-09 |