Yeni Detrinidad Valid NPI
Individual provider · Optician · Bradenton, FL
- NPI
- 1790586105
- Type
- Individual (Type 1)
- Primary specialty
- Optician (Technician/Technologist)
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 156FX1800X
- License number
- DO7143 (FL)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2025-03-21
- Last updated
- 2025-03-21
Practice location
6225 E State Road 64
Bradenton, FL 34208-6244
(941) 708-2817