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Mrs. Mary Jane Tudor
Optician in Sophia, West Virginia
NPI 1154585941

Mary Jane Tudor is a Optician based in Sophia, WV and is specialized in Optician. Mary Jane Tudor practices in Sophia, WV. The NPI Number for Mary Jane Tudor is 1154585941 and holds a License No. (West Virginia).

The current practice location address for Mary Jane Tudor is 834 Robert C Byrd Drive Unit B, Sophia, WV and can be reached out via phone at 304-683-3580 and via fax at 304-683-3582.

Location: 834 Robert C Byrd Drive Unit B, Sophia, WV, 25921
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154585941
Provider Name
Mary Jane Tudor
Credential
Provider Entity Type
Individual
Gender
Female
Address
834 Robert C Byrd Drive Unit B, Sophia, WV, 25921
Phone Number
304-683-3580
Fax Number
304-683-3582
Provider Enumeration Date
07/11/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
834 Robert C Byrd Drive Unit B
City
Sophia
State
West Virginia
Zip
25921
Phone Number
304-683-3580
Fax Number
304-683-3582
person
Provider Business Mailing Address Details
Address
834 Robert C Byrd Drive Unit B
City
Sophia
State
West Virginia
Zip
25921
Phone Number
304-683-3580
Fax Number
304-683-3582
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
(West Virginia)
Definition
Definition to come...
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