Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician | 1551 | NC |
NPI | 1144417510 |
---|---|
Provider Name | Ms. Marilyn Ann Hester |
First Address | Durham, NC 27704-2181 |
Second Address | Durham, NC 27704-2181 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/10/2007 |
Last Update Date | 01/10/2007 |