NPI | 1780638916 |
---|---|
Entity Type | Organization |
Authorized Contact | VIKKI KAY STANSBERRY President 800-610-2203 |
Organization Subpart ? | No |
Primary Taxonomy | 246Z00000X Specialist/Technologist, Other (Licence: MD L003371) |
Enumeration Date | 2006-05-20 |
Last Update Date | 2020-08-22 |