Organization
PROFLUENT SYSTEMS INC
Active
Other names
Mystique Eyewear
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE RENEE VONARX RDO (DISPENSING OPTICIAN)
(925) 757-2992
Entity
Organization
Contact information
Practice address
5887 LONE TREE WAY STE M, ANTIOCH, CA 94531-8625
(925) 757-2992
(925) 757-2922
Mailing address
5887 LONE TREE WAY STE M, ANTIOCH, CA 94531-8625
(925) 757-2992
(925) 757-2922
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
CA
Other
Enumeration date
03/27/2007
Last updated
08/22/2020
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