Individual
KATHY MAGALLANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
816 E MAIN ST, ALHAMBRA, CA 91801-4054
(626) 320-1581
Mailing address
11605 N LAMAR BLVD, AUSTIN, TX 78753-2658
(737) 222-6996
(512) 522-8836
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
41374
CA
Other
Enumeration date
09/24/2019
Last updated
09/24/2019
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