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Individual

ALEXANDER M BERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
8831 VILLA LA JOLLA DR, LA JOLLA, CA 92037-1949
(858) 888-4791
(858) 457-6990
Mailing address
1 CVS DRIVE, MAIL STOP #3005, WOONSOCKET, RI 02895
(401) 770-2286
(401) 269-4731

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
40847
CA

Other

Enumeration date
04/13/2022
Last updated
04/13/2022
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