| NPI | 1982700514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSELAVENDAR A. RICHARDS Owner/President 602-258-6997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: AZ 23096) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2020-08-22 |