NPI Registry.org

NPI Registration Record

Provider / OrganizationNPIDate Certified
16195449390000-00-00

The organization is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1619544939.

⚠️ Deactivated 2021-10-31

HPT Codes
CodePractice
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OPI Codes
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