| NPI | 1215634878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN ALLEN HOLTON CEO / Owner 336-681-5101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2023-02-14 |
| Last Update Date | 2023-04-25 |