NPI | 1093142085 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMIE MARIE BIGELOW Shareholder 415-673-7515 |
Organization Subpart ? | No |
Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
Enumeration Date | 2013-10-04 |
Last Update Date | 2023-07-21 |