Individual
PATRICIA APRIL PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
1800 CARL D SILVER PKWY, FREDERICKSBURG, VA 22401-4960
(540) 786-8180
Mailing address
1800 CARL D SILVER PKWY, FREDERICKSBURG, VA 22401-4960
(540) 786-8180
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1101002873
VA
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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