| NPI | 1588021232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY E LEEHAM Manager 907-688-4979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: AK 155) |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2016-01-26 |