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 |