| NPI | 1942688312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA DIDADO Owner 216-313-0154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.06660-NP) |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2015-05-19 |