Montano Ysidro, OPTICIAN

NPI #1649223108 in El Dorado, Kansas

Provider Information

NPI Number
1649223108
Entity Type
Individual
Name
Montano Ysidro, OPTICIAN
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Technician/Technologist - Optician
Credential
OPTICIAN
Enumeration Date
May 18, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
606 N MAIN ST
State
Kansas
ZIP Code
67042-2026
Phone
(316) 320-9680

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician

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