NPI | 1972735710 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER CLAIRE TATE-BRASSEAUX Owner 337-407-2888 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: LA 1542-573T) |
Enumeration Date | 2009-08-12 |
Last Update Date | 2022-10-12 |