Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Optician |
156FX1800X | 96[5] | Optician |
| NPI # | 1720419625 |
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| LBN Legal business name | ALEXANDRA & ETHAN, INC. | ||||
| Authorized official | INESSA ILYAYEVA - (PRESIDENT) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 12/03/2013 | ||||
| Last updated | 12/03/2013 - About 13 years ago | ||||
| Identifiers |
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