Individual
MRS. JAMIE LYNN MAGNOTTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
100 EVERGREEN DR, STE 117 PEARLE VISION, GLEN MILLS, PA 19342-1056
(610) 558-9803
Mailing address
100 EVERGREEN DR, STE 117 PEARLE VISION, GLEN MILLS, PA 19342-1056
(610) 558-9803
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG002121
PA
Other
Enumeration date
09/24/2008
Last updated
09/24/2008
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