Individual
ANDREA LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1635 DIVISADERO ST, 400, SAN FRANCISCO, CA 94115-3036
(415) 833-2020
Mailing address
1635 DIVISADERO ST, SUITE 400, SAN FRANCISCO, CA 94115-3036
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10823
CA
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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