Individual
DR. JOANNA M GERVAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1871 2ND ST, SPRINGFIELD, OR 97477-2121
(541) 741-0122
Mailing address
939 ODOM LN, CRESWELL, OR 97426-7506
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3263AT
OR
Other
Enumeration date
06/23/2008
Last updated
06/23/2008
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