| NPI | 1750972063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE S OTAMIRI Owner 225-284-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2021-01-29 |
| Last Update Date | 2021-12-27 |