Individual
JOHN SNOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1310 WEST ST, WOODLAND, CA 95695-5345
(571) 403-2205
Mailing address
1310 WEST ST, WOODLAND, CA 95695-5345
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
346783847637487
CA
Other
Enumeration date
12/05/2021
Last updated
12/05/2021
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