Diane Grossheim, ABOC,NCLE,LDO
NPI #1023748985 in Camden, South Carolina
Provider Information
- NPI Number
- 1023748985
- Entity Type
- Individual
- Name
- Diane Grossheim, ABOC,NCLE,LDO
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician/Technologist - Optician
- Credential
- ABOC,NCLE,LDO
- Enumeration Date
- Jun 14, 2022
- Last Updated
- Jun 14, 2022
Practice Location
- Address
- 2240 W DEKALB ST
- City
- Camden
- State
- South Carolina
- ZIP Code
- 29020-2069
- Phone
- (803) 425-9896
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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