NPI | 1114303187 |
---|---|
Entity Type | Organization |
Authorized Contact | JUSTIN DONAGHY Owner 231-642-5124 |
Organization Subpart ? | No |
Primary Taxonomy | 246Z00000X Specialist/Technologist, Other (Licence: 17293) |
Enumeration Date | 2015-07-31 |
Last Update Date | 2021-02-10 |