Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | OEG002477 | PA |
NPI | 1003175944 |
---|---|
Provider Name | Dr. Molly Ann Rene Clymer |
First Address | Hanover, PA 17331-1576 |
Second Address | Hanover, PA 17331-1576 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2012 |
Last Update Date | 21/06/2021 |