Individual
MARIA CLAUDETTE VITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
003963
PA
152W00000X
Optometrist
Primary
OEG003963
PA
Other
Enumeration date
10/31/2022
Last updated
06/26/2024
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