| NPI | 1942469382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDRA JOAN HENSLEY Owner 505-792-8596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other Surgical Assistant (Licence: NM 97468) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2008-06-02 |