| NPI | 1013133800 |
|---|---|
| Doing Business As | ANDRE HARTMAN & MEDINA |
| Entity Type | Organization |
| Authorized Contact | NATASHA BRAHIC Office Manager 209-632-2411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 6157T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 9253T) |
| 152W00000X Optometrist (Licence: CA 13047T) | |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2016-03-23 |