NPI | 1396997680 |
---|---|
Entity Type | Organization |
Authorized Contact | REBECCA L BRANDIS Billing Supervisor 410-942-9476 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MD TA1239) |
Enumeration Date | 2008-10-17 |
Last Update Date | 2009-08-26 |