Individual
DR. ANDREA MARIE BARNHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3311 4TH AVE, SAN DIEGO, CA 92103-5703
(619) 298-1154
(619) 296-8849
Mailing address
3311 4TH AVE, SAN DIEGO, CA 92103-5703
(619) 298-1154
(619) 296-8849
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12277T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12277T
STATE LICENSE
CA
Enumeration date
07/04/2006
Last updated
07/08/2007
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