Individual
DR. GLORILYN TAMANO FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
164 W. HOSPITALITY LANE, STE.7, SAN BERNARDINO, CA 92408-3329
(909) 383-5000
(909) 383-5010
Mailing address
164 W. HOSPITALITY LANE, STE.7, SAN BERNARDINO, CA 92408-3329
(909) 383-5000
(909) 383-5010
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
13343
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BV346Y
MEDICARE PTAN
—
Enumeration date
07/23/2007
Last updated
03/18/2014
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