Donneta Mccandless, OPTICIAN
NPI #1679563357 in Bowling Green, Kentucky
Provider Information
- NPI Number
- 1679563357
- Entity Type
- Individual
- Name
- Donneta Mccandless, OPTICIAN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician/Technologist - Optician
- Credential
- OPTICIAN
- Enumeration Date
- Oct 25, 2005
- Last Updated
- May 12, 2011
Practice Location
- Address
- 1403 ANDREA ST
- City
- Bowling Green
- State
- Kentucky
- ZIP Code
- 42104-3335
- Phone
- (270) 651-2181
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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