Individual
DR. KAITLYN ANN BALDASSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2400 SHEILA LN, RICHMOND, VA 23225-2040
(804) 433-1950
Mailing address
4801 GARDEN SPRING LN APT 306, GLEN ALLEN, VA 23059-2576
(585) 747-7058
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002678
VA
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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