person
Irene Luis Antonio
NPI 1275297244

Irene Luis Antonio is a Optician based in Woonsocket, CA and is specialized in Optician. Irene Luis Antonio practices in Huntington Beach, CA. The NPI Number for Irene Luis Antonio is 1275297244 and holds a License No. 42101 (California).

The current practice location address for Irene Luis Antonio is 10011 Adams Ave, Huntington Beach, CA and can be reached out via phone at 714-845-2002 and via fax at 714-379-3304.

Location: 10011 Adams Ave, Huntington Beach, CA, 02895
person
Provider Profile Details
NPI Number
1275297244
Provider Name
Irene Luis Antonio
Credential
Provider Entity Type
Individual
Gender
Female
Address
10011 Adams Ave, Huntington Beach, CA, 02895
Phone Number
714-845-2002
Fax Number
714-379-3304
Provider Enumeration Date
10/26/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10011 Adams Ave
City
State
Zip
92646-4904
Phone Number
714-845-2002
Fax Number
714-379-3304
person
Provider Business Mailing Address Details
Address
10011 Adams Ave
City
State
Zip
92646-4904
Phone Number
714-845-2002
Fax Number
714-379-3304
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
42101 (California)
Definition
Definition to come...
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