Individual
MRS. ANNETTE OHEARN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
5532-DO-DO
Contact information
Practice address
40 HOLLAND ST, SOMERVILLE, MA 02144-2705
(617) 629-6378
Mailing address
3 MINER ST APT 1, SOMERVILLE, MA 02145-3659
(781) 858-4487
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
5532
MA
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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