NPI | 1730375866 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES REDMOND BREED President And Secretary 480-897-8484 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: AZ 10034) |
Enumeration Date | 2007-09-21 |
Last Update Date | 2007-09-21 |