| NPI | 1285802579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS LEE GAYLOR Manager 540-580-2940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247200000X Technician, Other (Licence: VA 2705112693) |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2008-02-20 |