MINI TA

SAN DIEGO, CA
NPI1578955605
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: CA  15170)
Enumeration Date2015-02-26
Last Update Date2015-02-26
Business Address
Dr. MINI TA O.D.
4898 CONVOY ST STE 103
SAN DIEGO, CA 92111-1633
Phone number: 858-565-1001
Mailing Address
Dr. MINI TA O.D.
4898 CONVOY ST STE 103
SAN DIEGO, CA 92111-1633
Phone number: 858-565-1001
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