Jacqueline Rita De Jesse, OD

NPI #1164419115 in Brookhaven, Pennsylvania

Provider Information

NPI Number: 1164419115
Entity Type: Individual
Name: Jacqueline Rita De Jesse, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Oct 4, 2005
Last Updated: Nov 25, 2008

Practice Location

Address: 4106 EDGMONT AVE
City: Brookhaven
State: Pennsylvania
ZIP Code: 19015-2314
Phone: (610) 872-8989

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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