Individual
SHERENE THERESA VAZHAPPILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5220 JIMMY LEE SMITH PKWY, HIRAM, GA 30141-2739
(770) 439-1426
Mailing address
7800 MONTGOMERY RD, BLUE ASH, OH 45236-4388
(513) 793-5970
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT003546
OH
Other
Enumeration date
05/04/2021
Last updated
06/20/2024
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