| NPI | 1467842401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIPA JEAN SMITH Sole Proprietor 559-859-1911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA MFC45288) |
| Additional Taxonomies | 251S00000X (Licence: CA 7) |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-01-29 |