NPI | 1790849933 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS G BASTHOLM President 302-645-2220 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: DE T26919) |
Enumeration Date | 2006-12-21 |
Last Update Date | 2020-08-22 |