Individual
DR. JASMINA KOPRIVICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
120 N INDIAN HILL BLVD, CLAREMONT, CA 91711-4607
(909) 621-3952
(909) 626-5260
Mailing address
120 N INDIAN HILL BLVD, CLAREMONT, CA 91711-4607
(909) 621-3952
(909) 626-5260
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10353T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0103530
—
CA
Enumeration date
01/30/2006
Last updated
01/15/2008
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