Individual
JINI VARUGHESE JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1540 TRINITY PL, MISHAWAKA, IN 46545-5006
(574) 272-9000
Mailing address
1540 TRINITY PL, MISHAWAKA, IN 46545-5006
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.011804
IL
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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