NPI | 1942659081 |
---|---|
Entity Type | Organization |
Authorized Contact | MELANNIE WHITE Physician/Surgeon/Owner 844-985-3338 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: LA DPM200069) |
Enumeration Date | 2016-06-09 |
Last Update Date | 2016-08-11 |