Individual
AVANI PALVANKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3747 SUNSET LN, ANTIOCH, CA 94509-6101
(925) 754-2300
Mailing address
3747 SUNSET LN, ANTIOCH, CA 94509-6101
(925) 754-2300
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
34287TLG
CA
Other
Enumeration date
07/24/2019
Last updated
02/19/2020
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