Individual
DR. JEAN LOUISE DEMOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2106
CO
152WP0200X
Pediatric Optometrist
OPT.0002106
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10851356
—
CO
Enumeration date
06/19/2006
Last updated
10/25/2017
Update your record
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