Individual
DR. JENNIFER LYNN ETCHANDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1104 N DIVISION ST, CARSON CITY, NV 89703
(775) 882-9123
(775) 882-6030
Mailing address
1104 N DIVISION ST, CARSON CITY, NV 89703-3803
(775) 882-9123
(775) 882-6030
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
969
NV
152W00000X
Optometrist
AT-4305
OR
Other
Enumeration date
02/12/2018
Last updated
10/19/2019
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