| NPI | 1033382304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT EUGENE FLOTO Owner/Manager 208-288-4341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |