Individual
MR. WILLAIM BAILEY ANDREWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
200 LIBERTY ST, WARREN, PA 16365-2353
(814) 726-4924
Mailing address
200 LIBERTY ST, WARREN, PA 16365-2353
(814) 726-4924
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
03/20/2008
Last updated
03/20/2008
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