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Individual

DR. AMAAL ODISH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
844 E WASHINGTON AVE, EL CAJON, CA 92020-5364
(619) 447-1139
(619) 447-6239
Mailing address
844 E WASHINGTON AVE, EL CAJON, CA 92020-5364
(619) 447-1139
(619) 447-6239

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11379TPA
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SD0113790
CA
Enumeration date
07/15/2006
Last updated
12/06/2021
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