NPI | 1316159379 |
---|---|
Doing Business As | CHERUBIM INTIMATES |
Entity Type | Organization |
Authorized Contact | TANGELA CHEELEY Owner 678-797-9496 |
Organization Subpart ? | No |
Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management |
Enumeration Date | 2007-05-03 |
Last Update Date | 2008-07-14 |