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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KRYSTAL MINER, ABOC

Active Sole Proprietor

KRYSTAL MINER, ABOC is a Optician, Dispensing healthcare provider located in SHAMOKIN, Pennsylvania. NPI 1255017893 is currently active in the NPPES registry. Verify at CMS.

Optician, Dispensing · SHAMOKIN, PA

Registration Details

NPI Number
1255017893
Provider Type
Individual
Gender
Female
NPI Issued
Jun 27, 2023 (3.1165503822929 yrs)
Last Updated
Jun 27, 2023
License
252252 (PA)
Sole Proprietor
Yes

Practice Information

Address
233 W WALNUT ST
SHAMOKIN, PA, 178725365
Browse PA providers · Browse ZIP 17872
Phone
5708093893
Primary Specialty
Optician, Dispensing
156FX1800X

Other Optician, Dispensing Providers in SHAMOKIN, PA

Name Credential NPI
JOANNE M RODRIGUEZ ABOC 1245046358
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.