Individual
MS. BRETT-ASHLEY PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
619 S MARION AVE, LAKE CITY, FL 32025-5808
(386) 755-3016
Mailing address
2524 LANTANA LN, TALLAHASSEE, FL 32311-1661
(561) 676-4662
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC5270
FL
152W00000X
Optometrist
OPT0003128
CO
Other
Enumeration date
06/11/2015
Last updated
09/08/2016
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