NPI | 1720237001 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREA CHRISTINA FREEDMAN Member 508-799-8831 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: MA 5165) |
Enumeration Date | 2008-09-11 |
Last Update Date | 2008-09-11 |