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 |