NPI | 1932551645 |
---|---|
Entity Type | Organization |
Authorized Contact | TORIANO DEWBERRY Owner 734-644-0804 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2016-07-06 |
Last Update Date | 2016-07-06 |