Individual
KIRSTEN A JERVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
10 TRIEBLE DR, SUITE 3, TUNKHANNOCK, PA 18657-7054
(570) 836-2020
(570) 836-5501
Mailing address
10 TRIEBLE DR, SUITE 3, TUNKHANNOCK, PA 18657-7054
(570) 836-2020
(570) 836-5501
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000126
PA
Other
Enumeration date
06/12/2006
Last updated
12/10/2016
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