Organization
JENISE M. MANCINI O.D., P.C.
Active
Other names
Dr. Jenise Koziol Mancini
Organization subpart
No
Provider details
NPI number
Authorized official
AL MANCINI (BUSINESS MANAGER)
(703) 851-7178
Entity
Organization
Contact information
Practice address
45 DOC STONE RD, 101, STAFFORD, VA 22556-4555
(540) 720-2020
(540) 288-2020
Mailing address
45 DOC STONE RD, 101, STAFFORD, VA 22556-4555
(540) 720-2020
(540) 288-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1463
VA
Other
Enumeration date
08/10/2007
Last updated
08/10/2007
Update your record
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