Individual
BARBARA E FAYOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1401 N WEST AVE, JACKSON, MI 49202-2052
(517) 780-9774
(517) 789-7111
Mailing address
1401 N WEST AVE, JACKSON, MI 49202-2052
(517) 780-9774
(517) 789-7111
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004099
MI
Other
Enumeration date
12/04/2006
Last updated
03/08/2010
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