| NPI | 1477108496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTAL L URRUTIA Owner 775-233-5958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2019-08-06 |