Individual
KATIE BOESKOOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2003 COMMERCE DR, KINGSLAND, GA 31548-6767
(912) 882-3040
(912) 882-3786
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT0033147
GA
Other
Enumeration date
10/30/2015
Last updated
05/30/2024
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