NPI | 1578699625 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBORAH COZZA Owner 509-742-9275 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: WA 026001 DO00000618) |
Enumeration Date | 2007-02-25 |
Last Update Date | 2020-08-22 |