Individual
GEORGINA MARIE BLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
613 E GRAND AVE, ESCONDIDO, CA 92025-4402
(760) 747-7979
(760) 747-7799
Mailing address
8230 MIRA MESA BLVD, STE B, SAN DIEGO, CA 92126-2625
(858) 566-6670
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
14552
CA
Other
Enumeration date
11/01/2012
Last updated
06/05/2018
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