Individual
ROZALIYA SHIMONOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3104
CO
152W00000X
Optometrist
OEG004001
PA
152W00000X
Optometrist
TA3031
MD
Other
Enumeration date
12/08/2014
Last updated
09/03/2024
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