| 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 |