Individual
JILL NICOLE CERETTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
141 MARKET PL STE 203, FAIRVIEW HEIGHTS, IL 62208-2060
(618) 398-4118
Mailing address
141 MARKET PL STE 203, FAIRVIEW HEIGHTS, IL 62208-2060
(618) 398-4118
Taxonomy
Speciality
Code
Description
License number
State
156FX1201X
Optometric Assistant Technician
Primary
057001820
IL
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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