| NPI | 1982063137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE EDUARDO ALVERNIA-SILVA Owner 318-227-4675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: LA MD.202880) |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2016-02-16 |