| 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 | 2026-03-23 |