| NPI | 1801134051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALENCIA NICHOLAS Hr 267-513-1722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: PA PN293180) |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2013-01-23 |