Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1700X | Ocularist | 1468 | NC |
NPI | 1568602688 |
---|---|
Provider Name | Esther L Homer |
First Address | Stella, NC 28582-9741 |
Second Address | Cedar Point, NC 28584-8019 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2009 |
Last Update Date | 20/04/2009 |