| NPI | 1881040673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN BAILEY TRADER Owner 336-497-5391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NC 1638) |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2016-05-11 |