Theresa A Antone, OPTICIAN

NPI #1558586321 in Prescott Valley, Arizona

Provider Information

NPI Number
1558586321
Entity Type
Individual
Name
Theresa A Antone, OPTICIAN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician/Technologist - Optician
Credential
OPTICIAN
Enumeration Date
Apr 16, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
8516 E STATE ROUTE 69
Address 2
SUITE #C
State
Arizona
ZIP Code
86314-8805
Phone
(928) 775-9393

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician

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