| NPI | 1669010914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY GORDON President 415-287-0859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| 163WW0000X Registered Nurse, Wound Care | |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2019-12-17 |