Individual
MONICA D. BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2010 PAXVILLE HWY, MANNING, SC 29102-6434
(803) 435-6686
Mailing address
PO BOX 1265, MANNING, SC 29102-1265
(803) 460-7597
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1201
SC
Other
Enumeration date
06/17/2022
Last updated
05/23/2023
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