| NPI | 1689091654 |
|---|---|
| Former Legal Business Name | GLORIA JEAN HARVEY |
| Entity Type | Organization |
| Authorized Contact | GLORIA JEAN HARVEY Owner 214-727-9486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2014-04-10 |