Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Infusion Therapy |
261QI0500X |
| NPI # | 1316590177 |
| LBN Legal business name | JK MARKETING, LLC |
| Authorized official | JAMES KODMAN - (CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 07/22/2019 |
| Last updated | 07/22/2019 - About 7 years ago |
| Identifiers | n/a |
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