Individual
SASHA L RADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
320 N LADD ST, PONTIAC, IL 61764-1612
(815) 842-4304
Mailing address
320 N LADD ST, PONTIAC, IL 61764-1612
(815) 842-4304
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.010421
IL
Other
Enumeration date
11/08/2005
Last updated
07/23/2020
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