Individual
JAMIE BROOKE BOYD MANETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
7020 SIX FORKS RD, RALEIGH, NC 27615-6430
(919) 863-2020
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2322
NC
Other
Enumeration date
06/28/2013
Last updated
05/31/2024
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