Individual
VIOLETA S. VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DISPENSING OPTICIAN
Contact information
Practice address
1648A IRVING ST, SAN FRANCISCO, CA 94122-1835
(415) 753-1363
(415) 753-1363
Mailing address
1648A IRVING ST, SAN FRANCISCO, CA 94122-1835
(415) 753-1363
(415) 753-1363
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
D7004
CA
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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