Individual
AEVEN AMIR AWRAHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
528 E MAIN ST STE B, EL CAJON, CA 92020-4008
(619) 401-8845
(619) 401-5381
Mailing address
528 E MAIN ST STE B, EL CAJON, CA 92020-4008
(619) 401-8845
(619) 401-5381
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
017877
CA
156FC0800X
Contact Lens Technician/Technologist
Primary
—
—
Other
Enumeration date
12/04/2010
Last updated
12/04/2010
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