| NPI | 1104093715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXANNE MUGUAN LEELOUIE Office Manager 916-691-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 6733) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2008-05-13 |