Individual
DR. NICOLE SUSAN WHITAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2540 MAYSVILLE PIKE, ZANESVILLE, OH 43701-7561
(740) 450-2733
Mailing address
2540 MAYSVILLE PIKE, ZANESVILLE, OH 43701-7561
(740) 450-2733
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5826
OH
Other
Enumeration date
09/30/2008
Last updated
08/20/2015
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