Individual
RANDIE JEAN WILLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
155 DORSET ST, SOUTH BURLINGTON, VT 05403-6346
(802) 863-3062
(802) 863-6100
Mailing address
9 ASHFORD LN, WATERBURY, VT 05676-9085
(802) 244-8309
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
030-304
VT
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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