Individual
JACQUELINE VANESSA ESCOBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
840 N STONE ST, DELAND, FL 32720-3256
(386) 734-1766
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC6375
FL
Other
Enumeration date
10/06/2023
Last updated
11/06/2023
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