Individual
BRIANNA IDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
307 W MAIN ST, KENT, OH 44240-2400
(330) 673-7538
Mailing address
269 DUNBAR RD, TALLMADGE, OH 44278-2901
(330) 256-0533
(330) 595-4727
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT007301
OH
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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