Individual
DR. JAY MITCHELL WOFCHUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3179 HAMNER AVE, SUITE 1, NORCO, CA 92860-1983
(951) 734-4802
(951) 734-3035
Mailing address
3179 HAMNER AVE, SUITE 1, NORCO, CA 92860-1983
(951) 734-4802
(951) 734-3035
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT6838T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0068380
—
CA
Enumeration date
11/06/2006
Last updated
08/31/2009
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