NPI | 1710946470 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES V. KLUCKA Owner 239-939-2246 |
Organization Subpart ? | No |
Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: FL 0S 0006759) |
Enumeration Date | 2006-03-21 |
Last Update Date | 2008-11-25 |