| NPI | 1992989560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORISA SABINIANO SINGSON Owner 757-497-9379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: VA 0101051166) |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2008-01-03 |