| NPI | 1427592385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA DICKENS Certified Surgical First Assistant 985-707-3017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: LA 123842) |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2016-12-12 |