| NPI | 1871802777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ECCLESIA LUCIANA GRANT Ldo/Owner 404-432-1772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: GA LDO 002273) |
| Enumeration Date | 2010-09-27 |
| Last Update Date | 2010-09-27 |