Individual
MS. HEATHER ANNE HANLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
11110 MALL CIR, BOX 6140, WALDORF, MD 20603-4803
(301) 705-8450
(301) 705-8448
Mailing address
11110 MALL CIR, BOX 6140, WALDORF, MD 20603-4803
(301) 705-8450
(301) 705-8448
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPC4588
FL
152W00000X
Optometrist
Primary
TA2223
MD
Other
Enumeration date
10/22/2010
Last updated
12/16/2014
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