Individual
JACQUELINE BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 E NORTH ST, CALIFORNIA, MO 65018-1583
(573) 796-2222
(573) 796-4184
Mailing address
30500 S GERHART RD, CALIFORNIA, MO 65018-3155
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2017017719
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2017
Last updated
03/17/2018
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