| NPI | 1750037982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAIRINA CHAMIZO RODRIGUEZ Owner 786-457-0375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-02-25 |
| Last Update Date | 2025-02-04 |