Individual
MS. YOLLETTE CHERESTAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 LIBERTY HEIGHTS AVE, MONDAWMIN MALL, BALTIMORE, MD 21215-8019
(410) 523-8803
(410) 728-1583
Mailing address
2301 LIBERTY HEIGHTS AVE, MONDAWMIN MALL, BALTIMORE, MD 21215-8019
(410) 523-8803
(410) 728-1583
Taxonomy
Speciality
Code
Description
License number
State
156FX1202X
Optometric Technician
Primary
30253875
MD
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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