| NPI | 1841489861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE ETHELL MIRANDE President 330-494-9785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35072373) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2011-01-18 |