TIMOTHY STANLEY

OWENSBORO, KY
NPI1033841721
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: KY  261293)
Enumeration Date2022-06-30
Last Update Date2022-06-30
Business Address
Mr. TIMOTHY STANLEY
5031 FREDERICA ST
OWENSBORO, KY 42301-7410
Phone number: 270-685-3090
Mailing Address
Mr. TIMOTHY STANLEY
5031 FREDERICA ST
OWENSBORO, KY 42301-7410
Phone number: 270-685-3090