Individual
MRS. ANHTHY TRINH PRENDEVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
72 CENTRAL STREET, WELLESLEY, MA 02482-5806
(617) 884-1222
Mailing address
26 OAK KNOLL ROAD, CARLISLE, MA 01741
(314) 368-9155
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4804
MA
Other
Enumeration date
07/22/2010
Last updated
03/17/2015
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