LARRY D KISTNER

FONTANA, CA
NPI1558438390
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: CA  OPT5164TPA)
Enumeration Date2006-11-29
Last Update Date2008-09-23
Business Address
LARRY D KISTNER OD
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-427-3910
Mailing Address
LARRY D KISTNER OD
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-427-3910