KIDISTI GHEBRE MARIAM

ANTIOCH, CA
NPI1477508331
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: CA  11703T)
Enumeration Date2006-05-22
Last Update Date2007-07-08
Business Address
-- KIDISTI GHEBRE MARIAM OD
2201 VERNE ROBERTS CIR
ANTIOCH, CA 94509-7911
Phone number: 925-757-1183
Mailing Address
-- KIDISTI GHEBRE MARIAM OD
533 RIDGEVIEW CT
PLEASANT HILL, CA 94523-1023
Phone number: 925-228-2585