Individual
MRS. JACQUELINE M KOWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.O.
Contact information
Practice address
2520 NEW KENT HIGHWAY, QUINTON, VA 23141
(804) 307-4150
Mailing address
2520 NEW KENT HIGHWAY, QUINTON, VA 23141
(804) 307-4150
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1101002137
VA
Other
Enumeration date
05/03/2010
Last updated
05/03/2010
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