Individual
CARISSA ALFORQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
5601 DE SOTO AVE, WOODLAND HILLS, CA 91367-6701
(833) 574-2273
Mailing address
5601 DE SOTO AVE, WOODLAND HILLS, CA 91367-6701
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
35609
CA
Other
Enumeration date
02/28/2024
Last updated
10/15/2024
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