Organization
FLORENTINO NANTES & ERNESTO JUAREZ
Active
Other names
SITE FOR SORE EYES 503
Organization subpart
No
Provider details
NPI number
Authorized official
FLORENTINO NANTES ABOM, NCLEC (PRINCIPAL OWNER)
(510) 841-6963
Entity
Organization
Contact information
Practice address
2213 SHATTUCK AVE, BERKELEY, CA 94704-1415
(510) 841-6963
Mailing address
2213 SHATTUCK AVE, BERKELEY, CA 94704-1415
(510) 841-6963
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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