| NPI | 1710286067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCIEN - MAXIMIN YANOU TCHUISSE President 386-325-5699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2018-09-21 |