Individual
MRS. MALLIE LENA COCKERHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 TOWNE BLVD, MIDDLETOWN, OH 45044-6200
(513) 423-5869
(513) 423-6498
Mailing address
2900 TOWNE BLVD, MIDDLETOWN, OH 45044-6200
(513) 423-5869
(513) 423-6498
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
OH
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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