| NPI | 1689034829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYLENE J KNIGHT Owner 508-341-5153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other Surgical Assistant |
| Enumeration Date | 2016-03-01 |
| Last Update Date | 2019-11-13 |