Individual
JENNA DEWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3373 PRINCETON RD STE 121, HAMILTON, OH 45011-7963
(513) 893-2900
Mailing address
2411 S CANYON WOODS LN, APT 308, SPOKANE, WA 99224-5722
(513) 893-2900
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6541
OH
Other
Enumeration date
05/24/2017
Last updated
09/12/2018
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