Individual
MICHELLE CEREO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
1100 HERITAGE DR, SANATOGA, PA 19464-9216
(610) 326-2754
Mailing address
1100 HERITAGE DR, SANATOGA, PA 19464-9216
(610) 326-2754
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
9996
NY
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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