NPI | 1902190762 |
---|---|
Entity Type | Organization |
Authorized Contact | MAURA ELIZABETH STIPANOVICH President 330-440-2318 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: OH s4846) |
Enumeration Date | 2011-06-08 |
Last Update Date | 2012-10-12 |