| NPI | 1033502000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE MARIE MILLER Office Manager 509-662-4747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: WA DO 00000833) |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2015-03-13 |