NPI | 1528728995 |
---|---|
Entity Type | Organization |
Authorized Contact | FIDEL ALEXANDER PANTOJA Owner 210-580-3316 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2021-12-27 |
Last Update Date | 2021-12-27 |