| NPI | 1912561259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN JUSTIN JABLONSKY Owner 205-250-8523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2019-04-23 |