| NPI | 1912639147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIARA QUANTANEE' HUFF Csa 762-215-5689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2022-06-27 |