| NPI | 1851712699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL LECATES President/Owner 336-472-7289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2013-12-20 |
| Last Update Date | 2013-12-20 |