Individual
MARIAN EDMUNDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
704 LOUISE AVE, CHARLOTTE, NC 28204-2128
(704) 887-5105
Mailing address
704 LOUISE AVE, CHARLOTTE, NC 28204-2128
(704) 887-5105
Taxonomy
Speciality
Code
Description
License number
State
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
7709
AZ
Other
Enumeration date
08/21/2016
Last updated
08/21/2016
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