Individual
DR. GISELLE PACHECO CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
231 E BROAD ST, OZARK, AL 36360-1507
(334) 566-7172
Mailing address
996 COUNTY ROAD 57, SKIPPERVILLE, AL 36374-6863
(305) 803-0825
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-E50
AL
Other
Enumeration date
06/23/2020
Last updated
10/26/2021
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