Individual
MARC WILLIAM CEPEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9125
Mailing address
6381 CRESCENT AVE, BUENA PARK, CA 90620-3646
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
33901TLG
CA
152W00000X
Optometrist
961
NV
Other
Enumeration date
05/02/2018
Last updated
12/06/2021
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