Individual
JENNIFER MARIE WIERNAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
6333 CAMP BOWIE BLVD STE 272, FORT WORTH, TX 76116-5444
(817) 738-9301
Mailing address
3611 LAKE POWELL DR, ARLINGTON, TX 76016-3513
(817) 905-5903
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9415TG
TX
Other
Enumeration date
07/16/2018
Last updated
07/16/2018
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