| NPI | 1942070966 |
|---|---|
| Other Name | OVALLE MOBILE MEDICAL, LLC |
| Entity Type | Organization |
| Authorized Contact | FAZEILA BAKSH-OVALLE Owner/CEO 845-370-2655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2024-01-02 |
| Last Update Date | 2024-01-02 |