person
Edith C Livelo, ABOC,RDO
Optician in San Mateo, California
NPI 1316010960

Edith C Livelo is a Optician based in San Mateo, CA and is specialized in Optician. Edith C Livelo practices in San Mateo, CA and has the professional credentials of ABOC,RDO. The NPI Number for Edith C Livelo is 1316010960 and holds a License No. D 6765 (California).

The current practice location address for Edith C Livelo is 21 S San Mateo Dr, San Mateo, CA and can be reached out via phone at 650-343-5151 and via fax at 650-343-5178.

Location: 21 S San Mateo Dr, San Mateo, CA, 94401-3803
person
Provider Profile Details
NPI Number
1316010960
Provider Name
Edith C Livelo
Credential
ABOC,RDO
Provider Entity Type
Individual
Gender
Female
Address
21 S San Mateo Dr, San Mateo, CA, 94401-3803
Phone Number
650-343-5151
Fax Number
650-343-5178
Provider Enumeration Date
11/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DX006765F 05 CA
institution
Provider Business Practice Location Address Details
Address
21 S San Mateo Dr
City
State
Zip
94401-3803
Phone Number
650-343-5151
Fax Number
650-343-5178
person
Provider Business Mailing Address Details
Address
21 S San Mateo Dr
City
State
Zip
94401-3803
Phone Number
650-343-5151
Fax Number
650-343-5178
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
D 6765 (California)
Definition
Definition to come...
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