Individual
DR. MAYA JULIANA KENNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2112 SW H K DODGEN LOOP STE 135, TEMPLE, TX 76504-7011
(254) 598-7579
Mailing address
2112 SW H K DODGEN LOOP STE 135, TEMPLE, TX 76504-7011
(254) 598-7579
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10945
TX
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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