| NPI | 1811778509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA BLUE Owner 501-214-0202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2023-10-10 |
| Last Update Date | 2023-10-10 |