Individual
DR. MOLLY JOAN KING -GOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
468 HOSPITAL DR, ST JOHNSBURY, VT 05819-9225
(802) 223-7723
Mailing address
40 ROCKINGHAM AVE APT 204, WEST ROXBURY, MA 02132-4523
(908) 268-6480
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
030.0133932
VT
152W00000X
Optometrist
Primary
5241
MA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/23/2017
Last updated
12/04/2020
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