| NPI | 1548760101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZAKIA BOSTON Owner 678-631-7857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2018-02-20 |