NPI | 1700196615 |
---|---|
Other Name | VIGO FAMILY HEALTHCARE |
Entity Type | Organization |
Authorized Contact | TOMAS E. VIGO PAREDES Owner 304-756-3143 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WV 17682) |
Enumeration Date | 2010-10-13 |
Last Update Date | 2011-04-01 |