NPI | 1104948793 |
---|---|
Entity Type | Organization |
Authorized Contact | GLYN WAYNE HARRIS President 601-825-1992 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: MS 10192) |
Enumeration Date | 2007-04-04 |
Last Update Date | 2009-10-15 |