Doctor Name: | INES K JARAMILLO |
NPI Number: | 1407987738 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LDO |
License Number: | 2259 |
Business Practice Address: | 4497 Nw 185th St Carol City, FL - 330553079 |
Business Phone Number: | 3054747421 |
Business Fax Number: | |
Mailing Address: | 4497 Nw 185th St, CAROL CITY |
State: | FL |
Postal Code: | 330553079 |
Phone Number: | 3054747421 |
Fax Number: | |
NPI Enumeration Date: | 03/08/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | 2259 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |