NPI | 1720006083 |
---|---|
Other Name | JENNIFER FARZAD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA opt 13006) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CA 13006) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2022-09-15 |