Individual
JENSEN ELIZABETH RAFOOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1470 TOBIAS GADSON BLVD STE 115, CHARLESTON, SC 29407-4835
(845) 556-2020
Mailing address
1201 CENTRAL HAVEN DR APT 403, MT PLEASANT, SC 29464-3797
(309) 267-2622
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2138
SC
Other
Enumeration date
07/01/2019
Last updated
07/01/2019
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