21 North Kids LLC
NPI #1811744626 in Valparaiso, Indiana
Provider Information
- NPI Number
- 1811744626
- Entity Type
- Organization
- Organization Name
- 21 North Kids LLC
- Primary Specialty
- Optometrist
- Enumeration Date
- May 1, 2024
- Last Updated
- May 1, 2024
Practice Location
- Address
- 21 1/2 WASHINGTON ST
- City
- Valparaiso
- State
- Indiana
- ZIP Code
- 46383-4778
- Phone
- (219) 286-7007
Authorized Official
- Name
- JULIANA GROVE, OD
- Title
- OWNER
- Phone
- (773) 663-6882
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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