NPI | 1144427295 |
---|---|
Entity Type | Organization |
Authorized Contact | LANNY LATONE Program Manager 505-782-7198 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist Optician |
Additional Taxonomies | 231H00000X Audiologist |
Enumeration Date | 2007-07-02 |
Last Update Date | 2008-07-14 |