NPI | 1316162019 |
---|---|
Entity Type | Organization |
Authorized Contact | REBA JUNE FRANK Owner 859-985-0044 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: KY KY 1075) |
Enumeration Date | 2007-04-16 |
Last Update Date | 2020-08-22 |