| NPI | 1043477847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBIE ELIAS Administrator 928-775-5606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: AZ AZ26357) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-05-20 |