NPI | 1992866057 |
---|---|
Other Name | JACQLYN E REINERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046-008207) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MO T02865) |
Enumeration Date | 2006-12-13 |
Last Update Date | 2015-02-20 |