NPI | 1417988379 |
---|---|
Entity Type | Organization |
Authorized Contact | JOEL M WITTLES President 951-600-0288 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: CA G43641) |
Additional Taxonomies | 174400000X Specialist (Licence: CA G48314) |
174400000X Specialist (Licence: CA G75943) | |
Enumeration Date | 2006-07-06 |
Last Update Date | 2020-08-22 |