Individual
JENNIFER NIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1125 S BLACKHAWK BLVD, MOUNT PLEASANT, UT 84647
(435) 287-0563
Mailing address
62 W CENTER ST # 280, FAIRVIEW, UT 84629-9997
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV007287
NY
Other
Enumeration date
07/03/2008
Last updated
08/23/2022
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