Doctor Name: | MRS. SANDRA JANE FRITZ |
NPI Number: | 1528415734 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OPTICIAN |
License Number: | 067295 |
Business Practice Address: | 3755 Taylor Rd Loomis, CA - 956509226 |
Business Phone Number: | 9164891110 |
Business Fax Number: | |
Mailing Address: | Po Box 349, PENRYN |
State: | CA |
Postal Code: | 956630349 |
Phone Number: | 9164891110 |
Fax Number: | |
NPI Enumeration Date: | 05/17/2016 |
NPI Last Update Date: | 05/17/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | 067295 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |