NPI | 1518274869 |
---|---|
Entity Type | Organization |
Authorized Contact | NIKKITA JOHNSON-NEEALY Owner 773-412-0192 |
Organization Subpart ? | No |
Primary Taxonomy | 347C00000X Private Vehicle (Licence: IL n40062376878) |
Enumeration Date | 2010-09-08 |
Last Update Date | 2010-09-09 |