Individual
MARILYNN ACKER EZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
121 MAIN STREET, JAFFREY, NH 03452-6140
(603) 532-8835
(603) 532-7045
Mailing address
121 MAIN STREET, JAFFREY, NH 03452-6140
(603) 532-8835
(603) 532-7045
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0372
NH
152W00000X
Optometrist
Primary
NH0372
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30351489
—
NH
Enumeration date
02/15/2006
Last updated
12/08/2014
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