Individual
MISS JESSICA RAE COCHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
103 ROOSEVELT BLVD, ELEANOR, WV 25070-4000
(304) 586-0970
(304) 586-3744
Mailing address
PO BOX 852, ELEANOR, WV 25070-0852
(304) 586-0970
(304) 586-3744
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1059-OD
WV
Other
Enumeration date
07/15/2009
Last updated
07/15/2009
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