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Individual

AMELIA ANISA FANAIEYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
38 SAINT STEPHENS DR, ORINDA, CA 94563-1950
(925) 323-0000
Mailing address
38 SAINT STEPHENS DR, ORINDA, CA 94563-1950
(925) 323-0000

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-100340
ID

Other

Enumeration date
07/02/2015
Last updated
01/03/2022
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