| NPI | 1770950859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN PERCER Owner Artist 909-528-1309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246Z00000X Specialist/Technologist, Other |
| Additional Taxonomies | 305S00000X Point of Service |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2015-08-25 |