LYSSA WALLACE ODETTE

SAN DIEGO, CA
NPI1497277495
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: TX  9207)
Enumeration Date2017-07-11
Last Update Date2022-07-21
Business Address
LYSSA WALLACE ODETTE OD
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161-0002
Phone number: 858-552-7570
Mailing Address
LYSSA WALLACE ODETTE OD
3350 LA JOLLA VILLAGE DR MAIL CODE 112G
SAN DIEGO, CA 92161-0002
Phone number: 858-552-7570