Individual
CHAROLETTE A BARNES-LEBLANC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1688 N PERRIS BLVD, STE L5, PERRIS, CA 92571-4709
(951) 940-8100
(951) 940-0780
Mailing address
29314 BIRDY CT, NUEVO, CA 92567-9493
(951) 940-8100
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8665T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0086651
—
CA
Enumeration date
08/31/2006
Last updated
09/22/2017
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