| NPI | 1902592082 |
|---|---|
| Doing Business As | ROARING FORK DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | ELMER BONILLA Owner 970-456-9965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2023-04-19 |