NPI | 1205924511 |
---|---|
Former Legal Business Name | ENTA |
Entity Type | Organization |
Authorized Contact | MICHELLE CRYSTAL DENA Office Manager 949-305-8252 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist |
Enumeration Date | 2006-10-11 |
Last Update Date | 2022-09-22 |