| NPI | 1265727259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA RENEE JEFFERS President/Owner 501-221-1956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: AR E6518) |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2011-06-17 |