Individual
SERENA STASKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9770 DORCHESTER RD UNIT 101, SUMMERVILLE, SC 29485-7541
(843) 767-2328
Mailing address
PO BOX 880, FORT WASHINGTON, PA 19034-0880
(412) 862-9063
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2446
SC
Other
Enumeration date
10/03/2022
Last updated
10/11/2023
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