PHYLLLIS ALLEN

LAGRANGE, GA
NPI1104614973
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: GA  LDO003061)
Enumeration Date2025-04-30
Last Update Date2025-04-30
Business Address
PHYLLLIS ALLEN
803 NEW FRANKLIN RD
LAGRANGE, GA 30240-1827
Phone number: 706-302-6642
Mailing Address
PHYLLLIS ALLEN
803 NEW FRANKLIN RD
LAGRANGE, GA 30240-1827
Phone number: 706-885-1444