| NPI | 1659851699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET C CHAO Managing Member 702-609-9203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 229N00000X Anaplastologist |
| Additional Taxonomies | 156FX1700X Technician/Technologist, Ocularist |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2020-07-02 |