NPI | 1063744415 |
---|---|
Entity Type | Organization |
Authorized Contact | LATONYA JOHNSON WATSON Owner 318-751-2085 |
Organization Subpart ? | No |
Primary Taxonomy | 347C00000X Private Vehicle (Licence: LA 006594297) |
Enumeration Date | 2010-02-10 |
Last Update Date | 2010-02-10 |