Individual
DR. AUDREY LEE WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
894 PALM AVE, IMPERIAL BEACH, CA 91932-1572
(619) 424-9333
(619) 424-3356
Mailing address
2378 PRESIDIO DR, SAN DIEGO, CA 92103-1022
(619) 296-4135
(619) 296-4130
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
CA6834T
CA
Other
Enumeration date
12/18/2010
Last updated
12/18/2010
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