Organization
PERALA ENTERPRISES, LLC
Active
Other names
FE Warren Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA S GREEN ABOC, FNAO (MANAGER)
(307) 632-1369
Entity
Organization
Contact information
Practice address
6207 MISSILE DR, BUILDING 722, FT WARREN AFB, WY 82005-2407
(307) 632-1369
(307) 632-2161
Mailing address
PO BOX 21676, CHEYENNE, WY 82003-7031
(307) 632-1369
(307) 632-2161
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
10/17/2008
Last updated
10/17/2008
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