ROBERT RAY BALTIERRA

PLYMOUTH, MI
NPI1013442094
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: MI  4901005154)
Enumeration Date2017-04-27
Last Update Date2024-05-09
Business Address
ROBERT RAY BALTIERRA
44429 ANN ARBOR RD W
PLYMOUTH, MI 48170-3907
Phone number: 734-416-0348
Mailing Address
ROBERT RAY BALTIERRA
8614 WESTWOOD CENTER DR FL 9
VIENNA, VA 22182-2442
Phone number: 703-847-8899