| NPI | 1295854735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERI TINA HENRY Owner 502-454-7788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |