| NPI | 1013242791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI LABRECQUE Acct. Mgr 702-453-3799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: NV 8401) |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2018-10-31 |