NPI | 1356317796 |
---|---|
Professional Name | GIGETTE COLLAZO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00514000) |
Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0601002125) |
152W00000X Optometrist (Licence: VA 0618000536) | |
152W00000X Optometrist (Licence: NJ 27OM00091000) | |
Enumeration Date | 2006-02-26 |
Last Update Date | 2013-10-02 |