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Individual
DR. PENELOPE SHOLES SUTER
Active
Individual
DR. PENELOPE SHOLES SUTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
08128T
CA
152WV0400X
Vision Therapy Optometrist
08128T
CA
225400000X
Rehabilitation Practitioner
08128T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GSD001690
—
CA
05
—
SD0081280
—
CA
Enumeration date
09/22/2006
Last updated
01/29/2018
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