Individual
DARLENE WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
221 N DALEVILLE AVE, DALEVILLE, AL 36322-2015
(334) 598-4870
Mailing address
221 NORTH DALEVILLE AVE., DALEVILLE, AL 36322-2015
(334) 598-4870
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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