| NPI | 1003214909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JACKSON President 775-250-1564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: DC 1700) |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2014-12-09 |