NPI | 1003086844 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSE MIGUEL MARTINEZ Owner 662-728-2933 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MS 059068403) |
Enumeration Date | 2008-03-07 |
Last Update Date | 2008-03-07 |