ECCLESIA LUCIANA GRANT

COLLEGE PARK, GA
NPI1437476868
Professional NameECCLESIA LUCIANA GRANT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: GA  LDO 002273)
Enumeration Date2010-04-25
Last Update Date2010-05-13
Business Address
Mrs. ECCLESIA LUCIANA GRANT LDO
5534 OLD NATIONAL HWY SUITES 100-B
COLLEGE PARK, GA 30349-3212
Phone number: 404-432-1772
Mailing Address
Mrs. ECCLESIA LUCIANA GRANT LDO
165 HIDDEN BROOK CT
ATLANTA, GA 30349-4440
Phone number: 404-432-1772