Individual
JACLYN NOEL WEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
638 CAMINO DE LOS MARES STE A120, SAN CLEMENTE, CA 92673-2863
(949) 493-2269
Mailing address
20 HERMITAGE LN, LAGUNA NIGUEL, CA 92677-1023
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPT.0003398
CO
152W00000X
Optometrist
Primary
OPT34162TLG
CA
Other
Enumeration date
07/12/2018
Last updated
12/30/2021
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