Individual
CHRISTINE THIEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3750 SPORTS ARENA BLVD STE 9, SAN DIEGO, CA 92110-5133
(619) 224-2879
Mailing address
3750 SPORTS ARENA BLVD STE 9, SAN DIEGO, CA 92110-5133
(619) 224-2879
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
34784-TLG
CA
Other
Enumeration date
06/10/2021
Last updated
12/01/2023
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