Individual
EMILY M BRUNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6005 LAFAYETTE DR, WELDON SPRING, MO 63304-7890
(401) 584-3939
(216) 678-9186
Mailing address
6005 LAFAYETTE DR, WELDON SPRING, MO 63304-7890
(401) 584-3939
(216) 678-9186
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
Primary
—
—
156FX1800X
Optician
—
—
Other
Enumeration date
03/10/2023
Last updated
03/10/2023
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