Individual
DR. JULIANNE RENE SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3333 MAPLE AVE STE 2, PULASKI, NY 13142-2548
(315) 298-6966
Mailing address
20 NORMANDY CIR, CENTRAL SQUARE, NY 13036-2431
(315) 380-2110
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV008831
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TUV008831
OPTOMETRY LICENSE
NY
Enumeration date
07/31/2018
Last updated
07/31/2018
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