Individual
MONICA WILBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
101 PLAZA CTR, SECAUCUS, NJ 07094-3508
(201) 590-6859
(201) 617-5009
Mailing address
11605 N LAMAR BLVD, AUSTIN, TX 78753-2658
(737) 222-6996
(512) 522-8836
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
31TD00389100
NJ
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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