Individual
JENNIFER JOY MALPASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
19 N RANDALL RD, BATAVIA, IL 60510
(630) 879-9338
(630) 879-9344
Mailing address
19 N RANDALL RD, BATAVIA, IL 60510
(630) 879-9338
(630) 879-9344
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
46007265
IL
Other
Enumeration date
07/09/2006
Last updated
07/08/2007
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