| 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 |