Individual
KRISTEN ROSE BOONIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 ALLENDALE RD, KING OF PRUSSIA, PA 19406-2939
(610) 265-0344
Mailing address
350 E WILLOW GROVE AVE APT 406, PHILADELPHIA, PA 19118-4428
(845) 705-0794
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG004195
PA
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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