| NPI | 1730791104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOAH HANKERSON Owner 443-910-0033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |