Susan Boineau, OPTICIAN

NPI #1649331547 in Hollywood, South Carolina

Provider Information

NPI Number: 1649331547
Entity Type: Individual
Name: Susan Boineau, OPTICIAN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician/Technologist
Credential: OPTICIAN
Enumeration Date: Dec 13, 2006
Last Updated: Nov 5, 2007

Practice Location

Address: 7610 HIGHWAY 164
City: Hollywood
State: South Carolina
ZIP Code: 29449-5934
Phone: (843) 889-9366

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist	156F00000X	Primary
Technician, Other	247200000X

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