NPI | 1346548237 |
---|---|
Entity Type | Organization |
Authorized Contact | PHILIP TANNER ETCHELLS Owner/ President 760-961-1919 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CA 5518T) |
Enumeration Date | 2011-03-02 |
Last Update Date | 2013-04-29 |