Individual
MS. KARINA MANUKYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPHTHALMIC DISPENSER
Taxonomy
Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
Primary
31TD00373000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0165441
—
NJ
Enumeration date
06/03/2011
Last updated
06/03/2011
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