| NPI | 1407311384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTINA WASHINGTON Surgical Assistant 804-301-1927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2019-02-05 |