Individual
MRS. SONJA ANN OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
3320 SILAS CREEK PKWY, SUITE 150, WINSTON SALEM, NC 27103-3031
(336) 760-4240
(336) 760-4240
Mailing address
5676 BUCKHORN RD, LEWISVILLE, NC 27023-9627
(336) 766-2026
(336) 760-4240
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
471
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8802014
—
NC
Enumeration date
01/04/2007
Last updated
07/08/2007
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