NPI | 1720318736 |
---|---|
Doing Business As | GOOD SIDE OUT |
Entity Type | Organization |
Authorized Contact | DEBORAH E. STAMM Owner 907-677-7636 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: AK 596) |
Enumeration Date | 2010-01-14 |
Last Update Date | 2015-03-04 |