NPI | 1396172334 |
---|---|
Entity Type | Organization |
Authorized Contact | PHAILOTH LOONUBON Principal Agent/ Owner 706-778-6268 |
Organization Subpart ? | No |
Primary Taxonomy | 251X00000X Supports Brokerage (Licence: GA 2887248) |
Enumeration Date | 2013-10-06 |
Last Update Date | 2013-10-06 |