NPI | 1518283050 |
---|---|
Entity Type | Organization |
Authorized Contact | RONNA JENSEN Billing COO Rdinator 712-388-0160 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: IA 255100000X) |
Enumeration Date | 2010-04-08 |
Last Update Date | 2010-04-08 |