Individual
JESSICA KHOURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
200 MALL BLVD, KING OF PRUSSIA, PA 19406-2902
(610) 337-1580
(610) 337-2133
Mailing address
200 MALL BLVD, KING OF PRUSSIA, PA 19406-2902
(610) 337-1580
(610) 337-2133
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
270A00580900
PA
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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