Individual
GYSBERTUS JOHANN METTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
2023 HUGUENOT RD, RICHMOND, VA 23235
(804) 272-1987
Mailing address
2023 HUGUENOT RD, RICHMOND, VA 23235
(804) 272-1987
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
101
VA
Other
Enumeration date
12/20/2006
Last updated
01/18/2008
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