| 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 |