| NPI | 1033825062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA SOUTHERS Owner 804-615-7476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZA2600X Specialist/Technologist, Other, Art, Medical |
| Enumeration Date | 2023-01-24 |
| Last Update Date | 2023-01-24 |