NPI | 1043456304 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIE-ANNE VICTORIA JOYNER-ROBICHAUD Owner 727-216-3572 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: FL SA6101) |
Additional Taxonomies | 174400000X Specialist (Licence: FL SA6015) |
174400000X Specialist (Licence: FL SA7843) | |
174400000X Specialist (Licence: FL SA4711) | |
174400000X Specialist (Licence: FL OT5993) | |
Enumeration Date | 2008-12-16 |
Last Update Date | 2008-12-16 |