Individual
JULMARY MAYRIN REICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDO 1456
Contact information
Practice address
513 N DUNCAN BYP, UNION, SC 29379-8682
(864) 762-5006
Mailing address
513 N DUNCAN BYP, UNION, SC 29379-8682
(864) 762-5006
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
LDO1456
SC
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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