Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELINE CARYN HONSTROM
ActiveJACQUELINE CARYN HONSTROM is a Optician, Dispensing healthcare provider located in WAHKON, Minnesota. NPI 1760709125 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · WAHKON, MN
Registration Details
- NPI Number
- 1760709125
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 26, 2010 (16.319197796027 yrs)
- Last Updated
- Apr 26, 2010
- License
-
2148 (MN)
Practice Information
- Address
-
270 N MAIN STWAHKON, MN, 563864401Browse MN providers · Browse ZIP 56386
- Phone
- 3204953500
- Fax
- 3204953502
- Primary Specialty
-
Optician, Dispensing
156FX1800X
- Additional Specialty
- Optician, Dispensing
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.