Perala Enterprises, LLC
NPI #1992957252 in Ft Warren Afb, Wyoming
Provider Information
- NPI Number
- 1992957252
- Entity Type
- Organization
- Organization Name
- Perala Enterprises, LLC
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Oct 17, 2008
- Last Updated
- Oct 17, 2008
Practice Location
- Address
- 6207 MISSILE DR
- Address 2
- BUILDING 722
- City
- Ft Warren Afb
- State
- Wyoming
- ZIP Code
- 82005-2407
- Phone
- (307) 632-1369
Authorized Official
- Name
- MRS. PATRICIA S GREEN, ABOC, FNAO
- Title
- MANAGER
- Phone
- (307) 632-1369
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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