| NPI | 1699091306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RASHELLE ROSE SPONSELLER Ma/Office Manager 330-836-7110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: OH 35039562) |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2010-04-22 |