MRS. Mallie Lena Cockerham
NPI #1578260220 in Middletown, Ohio
Provider Information
- NPI Number
- 1578260220
- Entity Type
- Individual
- Name
- MRS. Mallie Lena Cockerham
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Feb 13, 2023
- Last Updated
- Feb 13, 2023
Practice Location
- Address
- 2900 TOWNE BLVD
- City
- Middletown
- State
- Ohio
- ZIP Code
- 45044-6200
- Phone
- (513) 423-5869
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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