| NPI | 1528801156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIQUE ADRIENNE VOSGES Phlebotomy Instructor/ Owner 757-236-0964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251300000X Local Education Agency (LEA) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2024-06-16 |