Jerry D Redwine

NPI #1457537383 in Muleshoe, Texas

Provider Information

NPI Number
1457537383
Entity Type
Organization
Organization Name
Jerry D Redwine
Primary Specialty
Eyewear Supplier
Enumeration Date
Jan 9, 2008
Last Updated
Jan 10, 2008

Practice Location

Address
111 E 3RD ST
State
Texas
ZIP Code
79347-3801
Phone
(806) 272-4705

Authorized Official

Name
MRS. DONNA JEAN REDWINE
Title
OFFICE MANAGER
Phone
(806) 272-4705

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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