NPI | 1821749615 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBORAH G MELENDEZ Practice Manager 760-889-1941 |
Organization Subpart ? | No |
Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine |
Enumeration Date | 2022-01-12 |
Last Update Date | 2022-01-12 |