| NPI | 1700234754 |
|---|---|
| Former Name | JENNA RENEE BLECHMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC5226) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV008666) |
| 152W00000X Optometrist (Licence: TX 10189TG) | |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2023-10-23 |