| NPI | 1285155051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL NIEVES Management 240-558-3706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2017-07-03 |