NPI | 1275698896 |
---|---|
Former Name | ROMUALDO D. ENRIQUEZ |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 156FC0801X Technician/Technologist, Contact Lens Fitter (Licence: MN A7377) |
Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: CA 20633) |
Enumeration Date | 2006-12-26 |
Last Update Date | 2025-09-11 |