Individual
SARAH DECLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
915 W GREEN ST, HASTINGS, MI 49058-1723
(269) 945-3866
(269) 945-9388
Mailing address
915 W GREEN ST, HASTINGS, MI 49058-1723
(269) 945-3866
(269) 945-9388
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005439
MI
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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