| NPI | 1154571586 |
|---|---|
| Other Name | OBAA, LLC |
| Entity Type | Organization |
| Authorized Contact | JARRELL OTTIE JEFFREY Managing Member Of LLC 859-331-8326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2008-09-23 |