Pasqua LLC

NPI #1871739516 in West Branch, Michigan

Provider Information

NPI Number: 1871739516
Entity Type: Organization
Organization Name: Pasqua LLC
Subpart: Yes (part of a larger organization)
Parent Organization: PASQUA LLC
Primary Specialty: Optometrist
Enumeration Date: Dec 31, 2008
Last Updated: Sep 2, 2010

Practice Location

Address: 511 E HOUGHTON AVE
Address 2: SUITE E
City: West Branch
State: Michigan
ZIP Code: 48661-1185
Phone: (989) 345-3680

Authorized Official

Name: LOIS J HIBNER
Title: EXECUTIVE DIRECTOR
Phone: (989) 724-7440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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