Individual
KIMBERLEY VLACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
32313 VINE ST, WILLOWICK, OH 44095-3371
(440) 943-6858
(440) 943-6858
Mailing address
32313 VINE ST, WILLOWICK, OH 44095-3371
(440) 943-6858
(440) 943-4082
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
S11529
OH
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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