Individual
DR. TAMMY JANE PANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
8140 ASHTON AVE STE 115, MANASSAS, VA 20109-5699
(703) 361-8284
(703) 361-0318
Mailing address
8140 ASHTON AVE STE 115, MANASSAS, VA 20109-5699
(703) 361-8284
(703) 361-0318
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000565
VA
Other
Enumeration date
07/08/2005
Last updated
10/28/2019
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