Individual
MR. ALAN TANITSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
191 N EL CAMINO REAL, #111, ENCINITAS, CA 92024-5362
(760) 436-0999
Mailing address
191 N EL CAMINO REAL, #111, ENCINITAS, CA 92024-5362
(760) 436-0999
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
SL1100
CA
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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