Individual
DR. FRANK GEORGE BALESTRERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4598 S TRACY BLVD, TRACY, CA 95377-8106
(209) 835-1181
(209) 835-9396
Mailing address
8729 W ETCHEVERRY DR, TRACY, CA 95304-8105
(209) 835-8634
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 7720 TLG
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0077200
—
CA
Enumeration date
06/12/2006
Last updated
05/08/2010
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