| NPI | 1013114289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA GRAVES President 207-893-1167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2020-08-22 |