NPI | 1730439738 |
---|---|
Other Name | MICHELLE ZODY |
Entity Type | Organization |
Authorized Contact | MICHELLE CLAIRE ZODY Owner 678-576-1225 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: CA 0103954) |
Enumeration Date | 2012-09-17 |
Last Update Date | 2012-09-17 |