Individual
TAMIKA PRENTISA BERMEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2925 GLENDALE AVE, TOLEDO, OH 43614-2684
(419) 380-8769
(419) 380-8921
Mailing address
2925 GLENDALE AVE, TOLEDO, OH 43614-2684
(419) 380-8769
(419) 380-8921
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
OP.017132-S
OH
156FX1800X
Optician
—
—
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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