Organization
AYESHA KIDD SENIOR EYECARE SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYESHA KIDD (OWNER)
(205) 835-5024
Entity
Organization
Contact information
Practice address
5700 GRELOT RD, APT # 925, MOBILE, AL 36609-3617
(205) 835-5024
Mailing address
5700 GRELOT RD, APT # 925, MOBILE, AL 36609-3617
(205) 835-5024
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-C61-TA-904
AL
Other
Enumeration date
11/26/2013
Last updated
04/08/2014
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