NPI | 1720477672 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGIE LASORELLA Credentialing Supervisor 513-829-9333 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: KY 00379) |
Enumeration Date | 2015-01-15 |
Last Update Date | 2023-02-09 |