Home » » 1942607767

1942607767 deactivated on Dec 31, 2018

NPI 1942607767 deactivated on Dec 31, 2018.

profile-icon Basic Information

Practice Location , ,
Practice Location Phone
Practice Location Fax
Gender
Specialty InNot specified
NPI ?1942607767
Entity Type
Enumeration Date ?
Last Update Date ?
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).