| NPI | 1619641982 |
|---|---|
| Doing Business As | ELITE DNA THERAPY SERVICES |
| Entity Type | Organization |
| Authorized Contact | JASMINE CURTIS Credentialing Director 239-236-8784 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X |
| Enumeration Date | 2021-08-02 |
| Last Update Date | 2021-08-02 |