| NPI | 1962896068 |
|---|---|
| Other Name | LAUREL HOWARD-BOARDMAN |
| Entity Type | Organization |
| Authorized Contact | LAUREL HOWARD-BOARDMAN Member 920-739-9230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: WI 7294-123) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2015-03-26 |