Individual
SONJA MAKITAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
141 SPRUCE PINE WAY STE C, KING, NC 27021-8445
(336) 409-9122
(336) 642-5661
Mailing address
PO BOX 2349, KING, NC 27021-2349
(336) 296-0012
(336) 642-5661
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2788
NC
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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