BREANNA LYNN BURGENSTOCK

WATERTOWN, NY
NPI1982111803
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: NY  8463-1)
Enumeration Date2017-12-30
Last Update Date2018-06-16
Business Address
BREANNA LYNN BURGENSTOCK
20823 NYS RT 3
WATERTOWN, NY 13601-5577
Phone number: 315-788-1570
Mailing Address
BREANNA LYNN BURGENSTOCK
20823 NYS RT 3
WATERTOWN, NY 13601-5577
Phone number: