Individual
JESSICA R CZERNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1236 NORTH AVE, SPEARFISH, SD 57783-1533
(605) 642-2645
Mailing address
1236 NORTH AVE, SPEARFISH, SD 57783-1533
(605) 642-2645
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
674
SD
Other
Enumeration date
08/01/2011
Last updated
09/28/2015
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