Individual
DR. JANINE DAVIS WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
109 PIKE ST, PORT CARBON, PA 17965-1814
(570) 622-7288
Mailing address
201 PIKE ST, PORT CARBON, PA 17965-1504
(570) 628-4147
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEGOOO408
PA
Other
Enumeration date
09/24/2006
Last updated
07/08/2007
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