| NPI | 1144436601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA JANICE LABEL Office Manager 866-473-7773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA G10742) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2010-06-28 |