| NPI | 1760262505 |
|---|---|
| Doing Business As | MIGUEL SALGADO-GONZALES |
| Entity Type | Organization |
| Authorized Contact | MIGUEL SALGADO-GONZALES Owner 541-727-2459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X |
| Enumeration Date | 2023-09-29 |
| Last Update Date | 2023-09-29 |