Individual
NINA MARIE RETTIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046011545
IL
152W00000X
Optometrist
Primary
OD61433774
WA
Other
Enumeration date
06/02/2021
Last updated
02/01/2025
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