Individual
TERESA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
804 PIKE ST, MARIETTA, OH 45750-3503
(740) 376-0161
Mailing address
804 PIKE ST, MARIETTA, OH 45750-3503
(740) 376-0161
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
OP.009679-SC
OH
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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