Jessica Shockley, C.O.A

NPI #1215299375 in Dayton, Ohio

Provider Information

NPI Number
1215299375
Entity Type
Individual
Name
Jessica Shockley, C.O.A
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician/Technologist - Ophthalmic Assistant
Credential
C.O.A
Enumeration Date
Jun 13, 2012
Last Updated
Jun 13, 2012

Practice Location

Address
105 SUGAR CAMP CIR
Address 2
SUITE 200
City
Dayton
State
Ohio
ZIP Code
45409-1962
Phone
(937) 222-3937

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - Ophthalmic AssistantOphthalmic Assistant

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