| NPI | 1972751766 |
|---|---|
| Doing Business As | AMIE N. REDFISH, PC |
| Entity Type | Organization |
| Authorized Contact | AMIEL N REDFISH Owner 605-983-3283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: SD 0173) |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2008-09-04 |