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Individual

MRS. JENNIFER L FIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OPTICIAN

Contact information

Practice address
10565 VETERANS MEMORIAL HIGHWAY, MASONTOWN, WV 26542-9577
(304) 864-2242
(304) 864-2250
Mailing address
10565 VETERANS MEMORIAL HWY, MASONTOWN, WV 26542-9577
(304) 864-2242
(304) 864-2250

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3202012-000
WV
Enumeration date
11/07/2006
Last updated
04/29/2009
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