Individual
DR. ARIANA JAVANEH INGSTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
79795 HIGHWAY 111, LA QUINTA, CA 92253-4756
(562) 522-1139
Mailing address
79795 CALIFORNIA 111, LA QUINTA, CA 92253-4756
(562) 522-1139
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
13936
CA
Other
Enumeration date
06/02/2011
Last updated
06/02/2011
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