| NPI | 1194945477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN FORTUNE President 270-369-8984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2020-08-22 |