Provider First Line Business Practice Location Address:
J C PENNEY OPTICAL DEPARTMENT
Provider Second Line Business Practice Location Address:
PLAZA CAROLINA MALL
Provider Business Practice Location Address City Name:
CAROLINA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00988
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-752-9200
Provider Business Practice Location Address Fax Number:
787-257-2665
Provider Enumeration Date:
06/01/2006