NPI | 1811446636 |
---|---|
Entity Type | Organization |
Authorized Contact | DERRICK DEVRON PERIQUE Owner 504-408-8771 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2016-09-22 |
Last Update Date | 2016-09-22 |