| NPI | 1669230652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAFEESAH RIDDICK Owner 267-461-0368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology Phlebotomy |
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant |
| 374700000X Technician | |
| Enumeration Date | 2024-03-13 |
| Last Update Date | 2024-03-13 |