Whalio Doctors

NPI 1043605728

Jessica Motta Juen, LDO

Practitioner Optician Memphis, TN

Practice location

Address
113 Harbor Town Sq STE 201, Memphis, TN 38103-8890
Phone
(901) 591-0372

Registered specialties

Optician Primary
Eye and Vision Services Providers Taxonomy 156FX1800X Licence 2514 (TN)

Registry record

NPI
1043605728
Entity type
Individual
Sex (as registered)
Female
NPI issued
31 Mar 2015
Record last updated
31 Mar 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.