Individual
KARA DETSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 N BROAD ST, RIDGWAY, PA 15853-8018
(814) 772-0674
Mailing address
104 ADAMS RD, SAINT MARYS, PA 15857-3613
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG004159
PA
Other
Enumeration date
02/19/2024
Last updated
06/12/2024
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