Individual
MELISSA PLOWMAKER CARRASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
890 E MAIN ST, EPHRATA, PA 17522-2562
(717) 721-6686
(717) 738-7735
Mailing address
890 E MAIN ST, EPHRATA, PA 17522-2562
(717) 721-6686
(717) 738-7735
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000544
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017436550001
—
PA
Enumeration date
10/02/2006
Last updated
08/17/2023
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