| NPI | 1972876969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHING-SHAN LIN Owner 870-563-5096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AR r3435) |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2012-02-21 |