Individual
MS. LINDA LY BIANCIOTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
ROUTE 301 NORTH B STREET, ZUNI, NM 87327
(505) 782-7485
Mailing address
PO BOX 1785, ZUNI, NM 87327
(505) 782-7485
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2035
AZ
Other
Enumeration date
08/08/2014
Last updated
07/21/2022
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