TIMOTHY GREENE

BENTON, KY
NPI1275262693
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: KY  174010)
Enumeration Date2022-06-09
Last Update Date2022-06-09
Business Address
TIMOTHY GREENE
310 W 5TH ST
BENTON, KY 42025-1102
Phone number: 270-527-1348
Mailing Address
TIMOTHY GREENE
310 W 5TH ST
BENTON, KY 42025-1102
Phone number: 270-527-1348