| NPI | 1902488893 |
|---|---|
| Former Legal Business Name | DR.JOANNE GRONQUIST |
| Entity Type | Organization |
| Authorized Contact | JOANNE GRONQUIST Optometrist/ Owner 805-569-1504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2021-04-27 |