NPI | 1881349611 |
---|---|
Doing Business As | NYANDA DERMATOLOGY |
Entity Type | Organization |
Authorized Contact | LISA NYANDA-MANALO Owner 813-435-5199 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Enumeration Date | 2022-02-21 |
Last Update Date | 2022-03-30 |