| NPI | 1851804355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERTHIE LABISSIERE Owner 202-882-9682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: DC po582) |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2017-11-07 |