Individual
DR. JENNIFER LOGAN STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1540 SPRING VALLEY DR, HUNTINGTON, WV 25704-9300
(304) 429-6755
Mailing address
1540 SPRING VALLEY DR, HUNTINGTON, WV 25704-9300
(304) 429-6755
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1079OD
WV
Other
Enumeration date
07/08/2010
Last updated
07/08/2010
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