NPI | 1164131306 |
---|---|
Doing Business As | MAURICIO CANTU JR |
Entity Type | Organization |
Authorized Contact | MAURICIO CANTU Owner 361-334-0563 |
Organization Subpart ? | No |
Primary Taxonomy | 305S00000X Point of Service |
Enumeration Date | 2022-11-16 |
Last Update Date | 2022-11-16 |