Individual
DR. MICHELLE RENEE TRUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618000608
VA
152W00000X
Optometrist
789
NH
152W00000X
Optometrist
OB009154
PA
152W00000X
Optometrist
Primary
OEG001436
PA
Other
Enumeration date
08/11/2006
Last updated
01/29/2014
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