Individual
SHAKERA HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD, MS
Contact information
Practice address
50 MONUMENT RD, BALA CYNWYD, PA 19004-1723
(610) 667-6760
Mailing address
2009 MANTON ST, PHILADELPHIA, PA 19146-4327
(215) 882-0083
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG003364
PA
Other
Enumeration date
11/08/2017
Last updated
03/17/2018
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