Individual
JORDAN RENEE MORRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
139 CONFERENCE CENTER WAY STE 121, BRIDGEPORT, WV 26330-9147
(304) 627-5588
Mailing address
139 CONFERENCE CENTER WAY STE 121, BRIDGEPORT, WV 26330-9147
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
WV
Other
Enumeration date
11/05/2020
Last updated
11/09/2020
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