NPI | 1447444690 |
---|---|
Doing Business As | WILLIAM J. COFFEY, JR. |
Entity Type | Organization |
Authorized Contact | SHEILA CAMPBELL Office Manager 323-295-0644 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: CA C30645) |
Enumeration Date | 2007-08-30 |
Last Update Date | 2011-12-07 |