Individual
JEAN ANN BRUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
647 S R 93, VALLEY PLAZA STE 7, CONYNGHAM, PA 18219-0752
(570) 788-4133
(570) 788-2876
Mailing address
647 S R 93 VALLEY PLAZA, P O BOX 752, CONYNGHAM, PA 18219-0752
(570) 788-4133
(570) 788-2876
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000647
PA
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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