| NPI | 1932409646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME CHARLES MAUTERER Csfa 985-445-6902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2010-10-27 |