Individual
HEATHER NENOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3200 N SEPULVEDA BLVD STE E4, MANHATTAN BEACH, CA 90266-2469
(310) 546-5568
(310) 546-5421
Mailing address
3200 N SEPULVEDA BLVD, STE E4, MANHATTAN BEACH, CA 90266-2469
(310) 795-9636
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
34386TLG
CA
Other
Enumeration date
08/31/2019
Last updated
10/11/2019
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