Individual
ANGELITO LAXAMANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6001 SHELLMOUND ST, STE 105, EMERYVILLE, CA 94608-1968
(510) 601-1892
Mailing address
6001 SHELLMOUND ST, STE 105, EMERYVILLE, CA 94608-1968
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
04/18/2008
Last updated
04/18/2008
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