NPI | 1447427638 |
---|---|
Entity Type | Organization |
Authorized Contact | RAYMOND P HERRERA Owner 505-326-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NM 437) |
Enumeration Date | 2008-05-15 |
Last Update Date | 2013-09-25 |