NPI | 1851050603 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURA SANCHEZ Clinic Administrator 150-122-7802 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2021-12-09 |
Last Update Date | 2021-12-09 |