Individual
KIM SNODGRASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
60 N. MILLER RD. STE A, FAIRLAWN, OH 44333-3702
(330) 836-2945
Mailing address
60 N. MILLER RD. STE, FAIRLAWN, OH 44333-3702
(330) 836-2945
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
24974A-SC
OH
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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