Individual
MARYMICHELLE SOWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED OPTICIAN
Contact information
Practice address
100A E WASHINGTON JACKSON RD, EATON, OH 45320-9729
(937) 456-2722
(937) 456-4340
Mailing address
100A E WASHINGTON JACKSON RD, EATON, OH 45320-9729
(937) 456-2722
(937) 456-4340
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
OP.017738-S
OH
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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