Individual
ALYSSA OLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1703 W BETHANY HOME RD, PHOENIX, AZ 85015-2566
(602) 944-2444
Mailing address
1703 W BETHANY HOME RD, PHOENIX, AZ 85015-2566
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT-002737
AZ
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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