| NPI | 1972679793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH MARTINEZ Owner 719-573-0315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2020-08-22 |