NPI | 1609242692 |
---|---|
Doing Business As | FRUITVALE OPTOMETRY |
Entity Type | Organization |
Authorized Contact | GENESTA ZAREHBIN Practice Manager 510-292-9067 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT 11992 TLG) |
Enumeration Date | 2015-08-13 |
Last Update Date | 2015-08-13 |