| NPI | 1407245681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERON LOVE Trainer 816-522-5984 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2022-07-21 |