Individual
CHRISTINA ISSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
17170 CAMINO DEL SUR, SAN DIEGO, CA 92127-2538
(858) 227-3932
Mailing address
12542 CAVALLO ST, SAN DIEGO, CA 92130-2740
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
34388TLG
CA
Other
Enumeration date
11/20/2019
Last updated
11/29/2021
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