Individual
MR. ENRIQUE METTA FALLENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
651 PALOMAR ST STE A17, CHULA VISTA, CA 91911-2663
(619) 992-4291
(619) 422-2385
Mailing address
651 PALOMAR ST STE A17, CHULA VISTA, CA 91911-2663
(619) 992-4291
(619) 422-2385
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
40581
CA
Other
Enumeration date
04/06/2020
Last updated
04/06/2020
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