| NPI | 1184016461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER JENSEN Owner 603-738-2868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AK 6676) |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2015-02-24 |