Individual
AGATHA SLEBODA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2619 E COLORADO BLVD # 150, PASADENA, CA 91107-3747
(626) 793-4168
Mailing address
14726 RAMONA AVE STE 203, CHINO, CA 91710-5730
(626) 305-9100
(626) 305-0152
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
35564
CA
Other
Enumeration date
05/29/2023
Last updated
06/13/2024
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