Individual
PENNY DARLENE SWALLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 MICHIGAN ST, SIDNEY, OH 45365-9080
(937) 570-2801
Mailing address
2400 MICHIGAN ST, SIDNEY, OH 45365-9080
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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