| NPI | 1801028048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL RAE CODDINGTON Sole Member 602-708-2493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: AZ 1597297) |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2009-08-21 |