NPI | 1134599897 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLEEN ISE Owner/President 855-689-5105 |
Organization Subpart ? | No |
Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
Enumeration Date | 2015-10-06 |
Last Update Date | 2020-03-03 |