| NPI | 1689006363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTHUR RAY MABAQUIAO President/Owner 866-284-2771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2025-01-08 |