JOSE L NIEVES

ROCKFORD, IL
NPI1639391832
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence:   156FX1800X)
Enumeration Date2007-05-03
Last Update Date2007-07-08
Business Address
Mr. JOSE L NIEVES optical
4010 E STATE ST STE 103
ROCKFORD, IL 61108-2044
Phone number: 815-397-5940
Mailing Address
Mr. JOSE L NIEVES optical
4010 E STATE ST STE 103
ROCKFORD, IL 61108-2044
Phone number: 815-397-5940
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