Individual
SUSMITHA NARISETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2575 AIRPORT RD, JACKSON, MI 49202-1867
(517) 783-2883
Mailing address
2575 AIRPORT RD, JACKSON, MI 49202-1867
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
00000000000
MI
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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