Marillac Clinic, Inc.
NPI #1871865576 in Grand Junction, Colorado
Provider Information
- NPI Number
- 1871865576
- Entity Type
- Organization
- Organization Name
- Marillac Clinic, Inc.
- Primary Specialty
- Optometrist
- Enumeration Date
- Jan 27, 2012
- Last Updated
- Sep 21, 2020
Practice Location
- Address
- 2333 N 6TH ST
- City
- Grand Junction
- State
- Colorado
- ZIP Code
- 81501
- Phone
- (970) 298-2235
Authorized Official
- Name
- MS. LATA RAMACHANDRAN
- Title
- EXECUTIVE DIRECTOR
- Phone
- (970) 298-2235
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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