Individual
MONICA JEZIOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
Mailing address
15839 STEVENSON PL, LOWELL, IN 46356-1005
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1886
SC
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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