Individual
MONA KLIBANOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
55 BROAD ST, PAWTUCKET, RI 02860-2023
(401) 723-3400
(401) 727-2326
Mailing address
55 BROAD ST, PAWTUCKET, RI 02860-2023
(401) 723-3400
(401) 727-2326
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
4817
MA
152W00000X
Optometrist
Primary
ODTG00553
RI
Other
Enumeration date
08/18/2010
Last updated
02/08/2018
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