| NPI | 1942863691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZULEMA CABALLERO ORTIZ Case Manager 424-217-9781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2019-04-18 |