| NPI | 1417798786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA ELIZABETH-ANN DAVIS Owner/ Operator 210-514-0705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology Phlebotomy |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2024-06-03 |