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Individual
MS. ADRIANA LANIZA MONTELLANO NATIVIDAD
Active
Individual
MS. ADRIANA LANIZA MONTELLANO NATIVIDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERTIFIED OPTICIAN
Taxonomy
Speciality
Code
Description
License number
State
156FC0800X
Contact Lens Technician/Technologist
Primary
162631
CA
156FX1800X
Optician
162631
CA
Other
Enumeration date
11/19/2007
Last updated
11/19/2007
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