| NPI | 1417365222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE ALFREDO HERRERA GONZALEZ Operations Manager 470-315-4949 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251X00000X Supports Brokerage |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2017-03-15 |