| NPI | 1205125721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN MARIE WILSON Owner Operator 443-366-6250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle (Licence: MD w425461585969) |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2011-04-05 |