NPI | 1205208907 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN C FOURNIER Manager 916-489-1110 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CA sl5288) |
Enumeration Date | 2015-10-21 |
Last Update Date | 2015-10-21 |