Individual
EDNA ALVARADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2817 REILLY RD, FORT BRAGG, NC 28310-7301
(910) 907-9262
Mailing address
6750 IRONGATE DR # B, FAYETTEVILLE, NC 28306-2506
(910) 578-2974
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
246
PR
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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