| NPI | 1659812980 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DUSTIN RAY President 202-271-0205 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist | 
| Enumeration Date | 2017-03-20 | 
| Last Update Date | 2017-03-20 |