DIANE LEE VIOLETTE

PORT RICHEY, FL
NPI1629238928
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: FL  DO3953)
Enumeration Date2008-06-11
Last Update Date2008-06-11
Business Address
-- DIANE LEE VIOLETTE LDO
10041A US HIGHWAY 19
PORT RICHEY, FL 34668-3742
Phone number: 727-868-0780
Mailing Address
-- DIANE LEE VIOLETTE LDO
10041A US HIGHWAY 19
PORT RICHEY, FL 34668-3742
Phone number: 727-868-0780