Individual
ANWI ETAME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4731 45TH STREET CT, ROCK ISLAND, IL 61201-7102
(309) 793-2020
(309) 792-2602
Mailing address
777 TANGLEFOOT LN, BETTENDORF, IA 52722-1650
(563) 323-2020
(563) 459-6615
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.010004
IL
Other
Enumeration date
07/20/2007
Last updated
07/24/2015
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