NPI 1215922174
Rebecca V St Jean, OD
Practice location
- Address
- 4030 Maccorkle Ave SW, South Charleston, WV 25309-1510
- Phone
- (304) 766-2220
- Fax
- (304) 766-0824
Registered specialties
Optometrist
Primary
Registry record
- NPI
- 1215922174
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 16 Sep 2005
- Record last updated
- 4 Apr 2008
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.