Individual
REBECCA ADRICULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
450 S SOUTHEAST LOOP 323, TYLER, TX 75702-8646
(903) 405-6387
(903) 526-0498
Mailing address
450 S SOUTHEAST LOOP 323, TYLER, TX 75702-8646
(903) 405-6387
(903) 526-0498
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
253738
CA
156FX1800X
Optician
Primary
SLD43256
CA
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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