Individual
JEAN M FENEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
555 SHOPS AT MISSION VIEJO, STE 30 SHOPS AT MISSION VIEJO, MISSION VIEJO, CA 92691
(949) 364-4010
(949) 364-4001
Mailing address
5069 GLEN VIEW PL, BONITA, CA 91902-2629
(619) 479-0342
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT9840TPA
CA
Other
Enumeration date
12/22/2006
Last updated
07/08/2007
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