| NPI | 1740714914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IBRAHIM SALMAN Pst 352-259-1621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: FL DO5201) |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2017-04-14 |