General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
taxonomy 246Z00000X
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Desired Body Bar
Type code 3recorded 2024-08-22
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
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