Individual
DR. ABRAHAM MAGALLANEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
36 W YOKUTS AVE, SUITE 1, STOCKTON, CA 95207-5713
(209) 952-3700
(209) 478-3302
Mailing address
36 W YOKUTS AVE, SUITE 1, STOCKTON, CA 95207-5713
(209) 952-3700
(209) 478-3302
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9646
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4444325
—
CA
Enumeration date
07/12/2006
Last updated
04/03/2017
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