NPI | 1356656029 |
---|---|
Other Name | CHAKA CHANELLE GRIFFITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: TN 3061) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MS 825) |
Enumeration Date | 2010-08-18 |
Last Update Date | 2019-10-10 |