| NPI | 1326114232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA T BENAVIDEZ Owner 719-671-4342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: CO 87802) |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2020-08-22 |