| NPI | 1154477222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA JEAN JORDAN Owner 207-415-0445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: ME 94035) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |