NPI | 1952526873 |
---|---|
Other Name | BIOVISAGE CLINIC |
Entity Type | Organization |
Authorized Contact | NILOUFAR GORMAN President CEO 323-655-8220 |
Organization Subpart ? | No |
Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC6481) |
Enumeration Date | 2007-04-16 |
Last Update Date | 2008-03-06 |