Individual
DR. CELISHA ANN MERRIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
316 S MAIN ST, ANNA, IL 62906-1242
(618) 833-3777
Mailing address
316 S MAIN ST, ANNA, IL 62906-1242
(618) 833-3777
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.010710
IL
Other
Enumeration date
07/18/2013
Last updated
07/18/2013
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