| NPI | 1053406348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUSUF D'COBLA WILLIAMS Health Services Technician 757-856-2230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247200000X Technician, Other (Licence: DC 24720000X) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |