| NPI | 1316775554 |
|---|---|
| Former Legal Business Name | ROBBYS BUNDLE OF JOY |
| Entity Type | Organization |
| Authorized Contact | SHATASHA BROWN Owner/Employee 315-240-7072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse |
| Enumeration Date | 2024-07-22 |
| Last Update Date | 2024-07-26 |