| NPI | 1558554402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIQUE LYSANNE VANDONGEN Owner/Operator 281-505-3526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX M6929) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2023-06-09 |