NPI | 1376756452 |
---|---|
Former Legal Business Name | NONE |
Entity Type | Organization |
Authorized Contact | WAGEEH EDWARD LOUKA Owner 626-303-2525 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist |
Enumeration Date | 2007-05-07 |
Last Update Date | 2020-08-22 |