| NPI | 1306352836 |
|---|---|
| Doing Business As | LISA JEWELL DC LLC |
| Entity Type | Organization |
| Authorized Contact | LISA JEWELL Owner 920-216-2958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: OR 5655) |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2017-12-20 |