Rachelle Marie Keltner, An Optometry Corp

NPI 1174882294 - Eyewear Supplier (Equipment, not the service) - 332H00000X

NPI Details
NPI 1174882294
Enumeration Date 05/09/2012
Last Updated 05/09/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name RACHELLE MARIE RACHELLE
Position OWNER
Phone (858) 538-6695
Fax (858) 538-3182
Practice Location
7875 HIGHLAND VILLAGE PL
STE. B-102
SAN DIEGO CA, 92129-5189, US
Phone (858) 538-6695
Fax (858) 538-3182
Business Location
7875 HIGHLAND VILLAGE PL
STE. B-102
SAN DIEGO CA, 92129-5189, US
Phone (858) 538-6695
Fax (858) 538-3182
Toxanomy
Taxonomy Code 332H00000X
License State California
License Number 11900TPG
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According to our database, Rachelle Marie Keltner, An Optometry Corp NPI is 1174882294, taxonomy code is 332H00000X and license number is 11900TPG, license state is located at California. Rachelle Marie Keltner, An Optometry Corp physically located at 7875 Highland Village Pl, San Diego CA, 92129-5189. NPI Number 1033115704 has the healthcare provider type.

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1174882294 NPI number is provided on an as is basis without warranty of any kind. 1174882294 is maintained by the National Plan & Provider Enumeration System. The contents of Rachelle Marie Keltner, An Optometry Corp are for informational purposes only.