MRS. Peouvisak Pen, OPTICIAN
NPI #1700026663 in Salem, New Hampshire
Provider Information
- NPI Number
- 1700026663
- Entity Type
- Individual
- Name
- MRS. Peouvisak Pen, OPTICIAN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician/Technologist - Optician
- Credential
- OPTICIAN
- Enumeration Date
- Mar 4, 2009
- Last Updated
- Mar 4, 2009
Practice Location
- Address
- 151 MAIN ST
- Address 2
- SUITE #10
- City
- Salem
- State
- New Hampshire
- ZIP Code
- 03079-3109
- Phone
- (978) 275-9549
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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