NPI | 1457894404 |
---|---|
Professional Name | TIM BRAKEFIELD |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 156FX1700X Technician/Technologist, Ocularist (Licence: WI 036-0002195093-04) |
Enumeration Date | 2016-11-23 |
Last Update Date | 2022-07-21 |