| NPI | 1649791948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL RODRIGUEZ Owner 346-206-3161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: DC SA0024) |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2022-07-21 |