| NPI | 1457502106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE DENISE PRIOLEAU Sole Proprietor 215-829-7269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: PA MD060185-L) |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2008-09-30 |