| NPI | 1952708547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO CORPUS President 701-852-7588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: ND 5394) |
| Additional Taxonomies | 174400000X Specialist (Licence: ND 12651) |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2014-11-25 |