| NPI | 1538608377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SPARKLE STARR CLARK Owner 585-208-9280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle (Licence: NY 670358397) |
| Additional Taxonomies | 347C00000X Private Vehicle (Licence: NY 198104499) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |