Individual
AURA GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
725 S DORA ST, UKIAH, CA 95482-5335
(707) 462-1310
(707) 462-1371
Mailing address
725 S DORA ST, UKIAH, CA 95482-5335
(707) 462-1310
(707) 462-1371
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
SL5391
CA
Other
Enumeration date
07/27/2007
Last updated
07/27/2007
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