Jeanine Prevost OD

NPI 1083614838 - Optometrist - 152W00000X

NPI Details
NPI 1083614838
Gender Female
Enumeration Date 07/22/2005
Last Updated 06/18/2010
Entity Type Individual
Active Over 12 years ago
Practice Location
1287 WILBUR AVE
SOMERSET MA, 02725-1816, US
Phone (508) 673-2140
Fax
Business Location
1287 WILBUR AVE
SOMERSET MA, 02725-1816, US
Phone (508) 676-2140
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Massachusetts
License Number 3366
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According to our database, Dr. Jeanine Prevost OD NPI is 1083614838, taxonomy code is 152W00000X and license number is 3366, license state is located at Massachusetts. Jeanine Prevost OD physically located at 1287 Wilbur Ave, Somerset MA, 02725-1816. NPI Number Jeanine Prevost OD has the Individual type.

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1083614838 NPI number is provided on an as is basis without warranty of any kind. 1083614838 is maintained by the National Plan & Provider Enumeration System. The contents of Jeanine Prevost OD are for informational purposes only.