Individual
MRS. KIM MABEL VERNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1230 CHEWS LANDING RD, LAUREL SPRINGS, NJ 08021-2804
(856) 784-1222
(856) 784-0068
Mailing address
1230 CHEWS LANDING RD, LAUREL SPRINGS, NJ 08021-2804
(856) 784-1222
(856) 784-0068
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
D-2181
NJ
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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