| NPI | 1528216751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TABITHA ANN EDMONDSON Owner 207-622-5751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: MH 161408) |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2008-08-29 |