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Individual

DR. EFREM JONATHAN PRADO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
3625 MIDWAY DR, STE P, SAN DIEGO, CA 92110-5253
(619) 223-3028
(619) 223-3042
Mailing address
3625 MIDWAY DR, STE P, SAN DIEGO, CA 92110-5253
(510) 461-3931

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
942991598
CA

Other

Enumeration date
07/21/2010
Last updated
04/20/2016
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