NPI | 1235598830 |
---|---|
Entity Type | Organization |
Authorized Contact | TRAJAN JOAQUIN SOARES President 209-826-1434 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT9569TPG) |
Enumeration Date | 2016-02-11 |
Last Update Date | 2016-02-11 |