| NPI | 1265180491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIC JACKSON President 202-420-9459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2022-03-16 |
| Last Update Date | 2022-03-16 |