Individual
SHAWNA HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
999 HOME PLZ STE 100, WATERLOO, IA 50701
(319) 236-0815
Mailing address
999 HOME PLZ STE 100, WATERLOO, IA 50701-4822
(319) 236-0815
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
092000
IA
Other
Enumeration date
04/16/2018
Last updated
06/15/2018
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