NPI | 1265404180 |
---|---|
Professional Name | TERESA ANN MAYHEW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 8802T) |
Additional Taxonomies | 152W00000X Optometrist (Licence: ID ODP-778) |
Enumeration Date | 2006-02-03 |
Last Update Date | 2019-03-14 |