NPI | 1871832949 |
---|---|
Entity Type | Organization |
Authorized Contact | BILLY MINTON President 270-202-9006 |
Organization Subpart ? | No |
Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other Surgical Technologist (Licence: KY 0626254) |
Enumeration Date | 2013-02-08 |
Last Update Date | 2013-02-08 |