| NPI | 1609697143 |
|---|---|
| Doing Business As | RIVERSIDE WRAPAROUND |
| Entity Type | Organization |
| Authorized Contact | SCOTT OSBORN Chief Operating Officer 510-520-0943 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2024-10-17 |
| Last Update Date | 2024-10-17 |