| NPI | 1780083923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA GRACIE SANDEFER Owner/Crp 956-687-3219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX ygsandefer46) |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2014-08-13 |