| NPI | 1851794242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA YBANEZ-MORANO Owner 740-282-6390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35.073473) |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2015-02-09 |