Individual
KATHIE JOY CRISP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
2767 U.S. HIGHWAY 90 WEST, LAKE CITY, FL 32055
(386) 755-3136
(386) 755-4816
Mailing address
2767 U.S. HIGHWAY 90 WEST, LAKE CITY, FL 32055
(386) 755-3136
(386) 755-4816
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO5913
FL
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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