| NPI | 1538047741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARQUIS HOGUE Owner 951-813-0814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2025-08-25 |
| Last Update Date | 2026-02-15 |