NPI | 1184975369 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMIE FLORES GONZALES Owner 915-592-1010 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2012-09-27 |
Last Update Date | 2012-09-27 |