NPI | 1306914726 |
---|---|
Other Name | HELENE DENISE CLAYTON JETER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618000630) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MD TA1043) |
152W00000X Optometrist (Licence: GA OPT003499) | |
152W00000X Optometrist (Licence: FL TPOP152) | |
Enumeration Date | 2006-12-01 |
Last Update Date | 2024-10-08 |