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Kirsten A Jervis, O.D.

Optometrist in Tunkhannock, PA. Individual provider (NPI-1).

NPI number1265474530
StatusActive
Last updated in NPPESDec 10, 2016

Details

NPI
1265474530
Entity type
Individual (NPI-1)
Name
Kirsten A Jervis
Credential
O.D.
Sex
Female
Sole proprietor
No
Enumeration date
Jun 12, 2006
Last updated
Dec 10, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X OptometristOEG000126PAYes

Practice location

10 Trieble Dr
Suite 3
Tunkhannock, PA 18657-7054

Phone 570-836-2020 · Fax 570-836-5501

Mailing address

10 Trieble Dr
Suite 3
Tunkhannock, PA 18657-7054

Phone 570-836-2020 · Fax 570-836-5501

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