KENNETH LAURENCE GROLEAU

ORANGE PARK, FL
NPI1821452236
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: FL  D03062)
Enumeration Date2016-04-12
Last Update Date2016-04-12
Business Address
-- KENNETH LAURENCE GROLEAU
225 BLANDING BLVD.
ORANGE PARK, FL 32073
Phone number: 904-276-4611
Mailing Address
-- KENNETH LAURENCE GROLEAU
225 BLANDING BLVD. KENS UNITED OPTICAL
ORANGE PARK, FL 32073
Phone number: 904-276-4611