| NPI | 1164394375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATRESCIA REEVES Owner 804-940-9171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology |
| Enumeration Date | 2025-09-18 |
| Last Update Date | 2025-09-19 |