Individual
JENNIFER ELLEN CROSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
16375 MERCHANTS LN, KING GEORGE, VA 22485-5655
(540) 413-3141
(540) 644-0719
Mailing address
16375 MERCHANTS LN, KING GEORGE, VA 22485-5655
(540) 413-3141
(540) 644-0719
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1101003906
VA
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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