| NPI | 1306276852 |
|---|---|
| Former Legal Business Name | KASPRZAK, PRINCE & DHARLA LLC |
| Entity Type | Organization |
| Authorized Contact | DAWN KASPRZAK President 219-322-7041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: IN 01045179A) |
| Additional Taxonomies | 305S00000X Point of Service (Licence: IL 036-055245) |
| 305S00000X Point of Service (Licence: MI 4301038939) | |
| Enumeration Date | 2013-11-20 |
| Last Update Date | 2013-11-20 |