| NPI | 1700350535 |
|---|---|
| Former Legal Business Name | HISPANO AMERICAN FAMILY CLINIC |
| Entity Type | Organization |
| Authorized Contact | LIZANDRA PEREIRA CORZO Fnp C 346-206-3963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2019-12-17 |