| NPI | 1851606339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUILHERME GIUSTI Resident 507-884-9439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: IL 125058950) |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2010-08-09 |