Individual
DR. JENNIFER DAWN SARMIENTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
377 N MONTEZUMA ST, STE108A, PRESCOTT, AZ 86301-3020
(928) 445-3808
(928) 778-3559
Mailing address
377 N MONTEZUMA ST, STE108A, PRESCOTT, AZ 86301-3020
(928) 445-3808
(928) 778-3559
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
AZ01235
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
813354
—
AZ
01
—
AZ0904090
BC/BS
AZ
Enumeration date
10/18/2006
Last updated
07/18/2014
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