NPI | 1639869266 |
---|---|
Former Legal Business Name | DORIN WIGS |
Entity Type | Organization |
Authorized Contact | DORIN BARUCH Registered Agent 305-975-7990 |
Organization Subpart ? | No |
Primary Taxonomy | 374700000X Technician |
Enumeration Date | 2023-05-08 |
Last Update Date | 2023-05-08 |