Organization
EUNOIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA DEE BRISCOE (LENS TECHNICIAN)
(660) 973-3195
Entity
Organization
Contact information
Practice address
355 D AVENUE, LIMON, CO 80828
(660) 973-3195
Mailing address
355 D AVENUE, LIMON, CO 80828
(660) 973-3195
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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