Jones Pembrooke Opticians, LLC
Technician/Technologist, Optician in Waldorf, MD. Organization (NPI-2).
NPI number1902006299
StatusActive
Last updated in NPPESMay 15, 2008
Details
- NPI
- 1902006299
- Entity type
- Organization (NPI-2)
- Legal business name
- Jones Pembrooke Opticians, LLC
- Organization subpart
- No
- Enumeration date
- Jul 24, 2007
- Last updated
- May 15, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | – | – | Yes |
Practice location
11355 Pembrooke SqSuite 106
Waldorf, MD 20603-4805
Phone 301-645-6822 · Fax 301-705-8785
Mailing address
11355 Pembrooke SqSuite 106
Waldorf, MD 20603-4805
Phone 301-645-6822 · Fax 301-705-8785
Authorized official
Karen Kistler Ward
Owner/Optician
3016456822
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