| NPI | 1285958983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEL ROSE BOYKIN-WRIGHT Owner 314-361-6644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: MO 104284) |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2010-03-24 |