| NPI | 1790493401 |
|---|---|
| Doing Business As | MEDELLA ON THE GO |
| Entity Type | Organization |
| Authorized Contact | ALEXANDER RASAVONG Administrator 725-247-6858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-11-10 |
| Last Update Date | 2023-04-26 |