Individual
MR. MANUEL ACEVEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
632 O ST, SANGER, CA 93657-2417
(559) 875-4237
(559) 876-2300
Mailing address
711 PALM AVE, SANGER, CA 93657-4109
(559) 875-4237
(559) 876-2300
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
D 7230
CA
Other
Enumeration date
08/07/2007
Last updated
08/09/2007
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