Individual
MARCELLA ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RSLD
Contact information
Practice address
4909 PARAMOUNT BLVD, LAKEWOOD, CA 90712-2903
(562) 295-4733
(562) 272-6603
Mailing address
11605 N LAMAR BLVD, AUSTIN, TX 78753-2658
(737) 222-6996
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
41070
CA
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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