Individual
ASHLEY IKETANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 E COUNCIL ST STE B, SALISBURY, NC 28144-5067
(704) 310-5002
(704) 310-5003
Mailing address
205 E COUNCIL ST STE B, SALISBURY, NC 28144-5067
(704) 310-5002
(704) 310-5003
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2527
NC
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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