Clive Lattibeaudiere

NPI #1639574452 in Sunrise, Florida

Provider Information

NPI Number
1639574452
Entity Type
Individual
Name
Clive Lattibeaudiere
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician/Technologist - Optician
Enumeration Date
Oct 23, 2014
Last Updated
Oct 23, 2014

Practice Location

Address
10057 SUNSET STRIP STE B
State
Florida
ZIP Code
33322-5301
Phone
(954) 749-5881

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician

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