| NPI | 1700651825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKIEMA PARKER C E O 980-254-2256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2023-11-20 |