Individual
JANE MIREILLE THERRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4472 WESTON RD, DAVIE, FL 33331-3194
(954) 888-9393
Mailing address
4472 WESTON RD, DAVIE, FL 33331-3194
(954) 888-9393
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3405
FL
Other
Enumeration date
08/12/2006
Last updated
06/07/2016
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