Individual
DR. JACQUELINE SOLANGE KOWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0003684
CO
152W00000X
Optometrist
Primary
OPT-002627
AZ
Other
Enumeration date
07/14/2021
Last updated
01/05/2023
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