person
Miss Tierra Ilicia Leigh Grubbs, ABOC,FNAO
Optician in Costa Mesa, California
NPI 1164889424

Tierra Ilicia Leigh Grubbs is a Optician based in Costa Mesa, CA and is specialized in Optician. Tierra Ilicia Leigh Grubbs practices in Costa Mesa, CA and has the professional credentials of ABOC,FNAO. The NPI Number for Tierra Ilicia Leigh Grubbs is 1164889424 and holds a License No. D70604 (California).

The current practice location address for Tierra Ilicia Leigh Grubbs is 575 Anton Blvd Fl 3, Costa Mesa, CA and can be reached out via phone at 562-313-5202.

Location: 575 Anton Blvd Fl 3, Costa Mesa, CA, 92626-7169
person
Provider Profile Details
NPI Number
1164889424
Provider Name
Tierra Ilicia Leigh Grubbs
Credential
ABOC,FNAO
Provider Entity Type
Individual
Gender
Female
Address
575 Anton Blvd Fl 3, Costa Mesa, CA, 92626-7169
Phone Number
562-313-5202
Fax Number
Provider Enumeration Date
01/18/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
575 Anton Blvd Fl 3
City
State
Zip
92626-7169
Phone Number
562-313-5202
Fax Number
person
Provider Business Mailing Address Details
Address
575 Anton Blvd Fl 3
City
State
Zip
92626-7169
Phone Number
562-313-5202
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
D70604 (California)
Definition
Definition to come...
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