| NPI | 1679163364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATEL FOSTER Administrator 251-725-6917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 174H00000X Health Educator |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2022-01-14 |