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Teal Shorter
Optician in Davis, California
NPI 1366178535

Teal Shorter is a Optician based in Davis, CA and is specialized in Optician. Teal Shorter practices in Davis, CA. The NPI Number for Teal Shorter is 1366178535 and holds a License No. SLD42719 (California).

The current practice location address for Teal Shorter is 1 Shields Ave, Davis, CA and can be reached out via phone at 530-752-9642.

Location: 1 Shields Ave, Davis, CA, 95616-5200
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366178535
Provider Name
Teal Shorter
Credential
Provider Entity Type
Individual
Gender
Female
Address
1 Shields Ave, Davis, CA, 95616-5200
Phone Number
530-752-9642
Fax Number
Provider Enumeration Date
07/28/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1 Shields Ave
City
Davis
State
California
Zip
95616-5200
Phone Number
530-752-9642
Fax Number
person
Provider Business Mailing Address Details
Address
1 Shields Ave
City
Davis
State
California
Zip
95616-5200
Phone Number
530-752-9642
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
SLD42719 (California)
Definition
Definition to come...
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