NPI | 1720372311 |
---|---|
Entity Type | Organization |
Authorized Contact | ELIZABETH ANGELA RUSSO-STRINGER Owner 225-243-5603 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: LA MD.201475) |
Enumeration Date | 2011-06-01 |
Last Update Date | 2011-06-01 |