Jason Lee Ervin
NPI #1609573526 in New Boston, Ohio
Provider Information
- NPI Number
- 1609573526
- Entity Type
- Individual
- Name
- Jason Lee Ervin
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Feb 10, 2023
- Last Updated
- Feb 10, 2023
Practice Location
- Address
- 4490 GALLIA ST
- City
- New Boston
- State
- Ohio
- ZIP Code
- 45662-5553
- Phone
- (740) 456-8650
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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