KENNETH R GIFT OD

SELINSGROVE, PA
NPI1629240858
Entity TypeOrganization
Authorized ContactKENNTH R GIFT
Owner
570-374-0154
Organization Subpart ?No
Primary Taxonomy332H00000X Eyewear Supplier
(Licence: PA  G000099)
Enumeration Date2008-03-27
Last Update Date2013-02-13
Business Address
KENNETH R GIFT OD
886 ROUTE 522
SELINSGROVE, PA 17870-9712
Phone number: 570-374-0154
Mailing Address
KENNETH R GIFT OD
886 ROUTE 522
SELINSGROVE, PA 17870-9712
Phone number: 570-374-0154