Charda P Bronaugh, OPTICIAN

NPI #1114976420 in Lufkin, Texas

Provider Information

NPI Number
1114976420
Entity Type
Individual
Name
Charda P Bronaugh, OPTICIAN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician/Technologist - Optician
Credential
OPTICIAN
Enumeration Date
May 6, 2006
Last Updated
Dec 15, 2009

Practice Location

Address
1607 W FRANK AVE
Address 2
SUITE 109
City
Lufkin
State
Texas
ZIP Code
75904-3103
Phone
(936) 632-1010

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician

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