Individual
MRS. DIANA ISABEL IRAHETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
3080 VICTOR AVE, REDDING, CA 96002-1449
(530) 222-3166
Mailing address
3080 VICTOR AVE, REDDING, CA 96002-1449
(302) 223-1665
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 13168
CA
152W00000X
Optometrist
OPT13168
CA
Other
Enumeration date
09/15/2006
Last updated
06/07/2024
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