Mary Shull, OPTICIAN

NPI #1144609421 in Missoula, Montana

Provider Information

NPI Number
1144609421
Entity Type
Individual
Name
Mary Shull, OPTICIAN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician/Technologist - Optician
Credential
OPTICIAN
Enumeration Date
May 20, 2015
Last Updated
May 20, 2015

Practice Location

Address
111 N HIGGINS AVE
Address 2
SUITE 107
State
Montana
ZIP Code
59802-4437
Phone
(406) 327-9988

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician

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