Kenneth Laurence Groleau
NPI #1821452236 in Orange Park, Florida
Provider Information
- NPI Number
- 1821452236
- Entity Type
- Individual
- Name
- Kenneth Laurence Groleau
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Apr 12, 2016
- Last Updated
- Apr 12, 2016
Practice Location
- Address
- 225 BLANDING BLVD.
- City
- Orange Park
- State
- Florida
- ZIP Code
- 32073
- Phone
- (904) 276-4611
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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