Individual
DR. JILL E FEDERICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
155 GRIFFIN RD, EXCELLENT VISION, PORTSMOUTH, NH 03801-4125
(603) 430-5225
Mailing address
155 GRIFFIN RD, EXCELLENT VISION, PORTSMOUTH, NH 03801-4125
(603) 430-5225
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0931
NH
Other
Enumeration date
08/15/2015
Last updated
07/29/2016
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