Individual
JEANNIE SITU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
12234 PALMDALE RD, VICTORVILLE, CA 92392-9418
(760) 843-9752
Mailing address
12234 PALMDALE RD, VICTORVILLE, CA 92392-9418
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
33921TLG
CA
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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