| NPI | 1770795775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNETTE FRANCIS RUSSELL Executive Director 602-267-7573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: AZ 966) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |