| NPI | 1972984391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCELLA MARINA NEVERMANN O PT Ician Owner 720-405-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2017-04-01 |