Individual
DR. AMANDA MICHELLE PARREIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
894 MEINECKE AVE, SUITE A, SAN LUIS OBISPO, CA 93405-1722
(805) 543-6632
(805) 543-6863
Mailing address
894 MEINECKE AVE, SUITE A, SAN LUIS OBISPO, CA 93405-1722
(805) 543-6632
(805) 543-6863
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11202T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0112020
—
CA
Enumeration date
01/27/2006
Last updated
02/22/2008
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