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Organization
REBECCA M. MARAVILLA, OD, INC.
Active
Organization
REBECCA M. MARAVILLA, OD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA MARCIA MARAVILLA O.D. (PRESIDENT)
(714) 282-2888
Entity
Organization
Contact information
Practice address
781 S. WEIR CANYON ROAD, SUITE 195, ANAHEIM, CA 92808
(714) 282-2888
(714) 282-2971
Mailing address
781 S. WEIR CANYON ROAD, SUITE 195, ANAHEIM, CA 92808
(714) 282-2888
(714) 282-2971
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9041T
CA
Other
Enumeration date
10/22/2009
Last updated
10/22/2009
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