| NPI | 1396877288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN PATRICIA ULMER Owner 480-835-9669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: AZ 2297I) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |