NPI | 1962889758 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTINA ANTONETTE CARRARI Sole Proprietor 785-832-8700 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: KS 01-05662) |
Enumeration Date | 2015-04-30 |
Last Update Date | 2015-04-30 |