NPI | 1992320089 |
---|---|
Other Name | ONE STICK LAB EXPRESS |
Entity Type | Organization |
Authorized Contact | DEMISHA LATRICE JOHNSON Owner 912-661-9261 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2020-06-15 |
Last Update Date | 2020-06-15 |