Individual
AUDREY CARMONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
451 S AIRPORT BLVD, SOUTH SAN FRANCISCO, CA 94080-6909
(650) 589-3128
Mailing address
98 VISTA GRANDE AVE, DALY CITY, CA 94014-3829
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
35829
CA
Other
Enumeration date
09/24/2024
Last updated
12/31/2024
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