NPI | 1912174525 |
---|---|
Entity Type | Organization |
Authorized Contact | DANNY MICHAEL BRAND Manager 251-945-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: AL 587) |
Enumeration Date | 2008-05-13 |
Last Update Date | 2008-05-13 |