NICHOLAS RYAN MAIROSE

DRY RIDGE, KY
NPI1821815093
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: KY  110747)
Enumeration Date2024-09-20
Last Update Date2024-09-20
Business Address
NICHOLAS RYAN MAIROSE LDO
20 FERGUSON BLVD
DRY RIDGE, KY 41035-8699
Phone number: 859-824-0724
Mailing Address
NICHOLAS RYAN MAIROSE LDO
20 FERGUSON BLVD
DRY RIDGE, KY 41035-8699
Phone number: 859-824-0724