SHANA THEDFORD

MERIDIAN, MS
NPI1790289510
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy156FX1101X Technician/Technologist, Ophthalmic Assistant
Additional Taxonomies156FC0800X Technician/Technologist, Contact Lens
156FX1101X Technician/Technologist, Ophthalmic Assistant
156FX1700X Technician/Technologist, Ocularist
156FX1800X Technician/Technologist, Optician
156FX1800X Technician/Technologist, Optician
251V00000X Voluntary or Charitable
Enumeration Date2018-03-19
Last Update Date2022-09-01
Business Address
SHANA THEDFORD RO
3126 8TH ST. MAGNOLIA PLAZA SUITE A.
MERIDIAN, MS 39301-3930
Phone number: 601-207-5085
Mailing Address
SHANA THEDFORD RO
3220 LAUDERDALE RD
LAUDERDALE, MS 39335-9639
Phone number: 601-616-1210