| NPI | 1760563159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REENA A YONKOSKY Owner 678-965-5862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: 0289298) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 0289298) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2013-08-20 |