| NPI | 1851643050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONATO GAERLAN DUMLAO President 251-625-6896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: AL 25803) |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2012-10-11 |