NPI | 1689825358 |
---|---|
Entity Type | Organization |
Authorized Contact | JUAN J CARRERE Managing Member 814-913-1440 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME85054) |
Enumeration Date | 2008-09-30 |
Last Update Date | 2009-10-07 |