| NPI | 1376367904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LEE HICKOK Co Owner/Managing Member 775-359-1660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Enumeration Date | 2024-11-11 |
| Last Update Date | 2024-11-11 |