Individual
JENNA JUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 N 6TH ST STE 300, ALLENTOWN, PA 18101-1403
(484) 224-0775
Mailing address
2100 MACK BLVD FL 4, ALLENTOWN, PA 18103-5622
(484) 224-1892
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
27OA00715000
NJ
152WV0400X
Vision Therapy Optometrist
Primary
OEG004024
PA
Other
Enumeration date
07/18/2022
Last updated
08/04/2023
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