| NPI | 1306590708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEOCOBI C NNADI CEO/Csfa 337-422-8647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2022-02-05 |
| Last Update Date | 2024-05-02 |