Individual
JESSICA CIESZKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
601 MEDICAL CENTER PKWY, BOAZ, AL 35957-5937
(256) 840-2021
Mailing address
3322 W END AVE STE 400, NASHVILLE, TN 37203-6805
(629) 999-5014
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-F30-TA-D21
AL
Other
Enumeration date
12/27/2023
Last updated
02/07/2024
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