| NPI | 1912182932 |
|---|---|
| Doing Business As | SANDIA VISIOM CLINIC |
| Entity Type | Organization |
| Authorized Contact | KAZUKO K PURO Co Owner 505-265-3443 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NM 2326) |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2008-01-09 |