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Nancy De La Vara
Optician in Somerton, Arizona
NPI 1790089928

Nancy De La Vara is a Optician based in Somerton, AZ and is specialized in Optician. Nancy De La Vara practices in Somerton, AZ. The NPI Number for Nancy De La Vara is 1790089928 and holds a License No. 2571I (Arizona).

The current practice location address for Nancy De La Vara is 725 E. Main St., Somerton, AZ and can be reached out via phone at 928-627-4525.

Location: 725 E. Main St., Somerton, AZ, 85350-0634
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790089928
Provider Name
Nancy De La Vara
Credential
Provider Entity Type
Individual
Gender
Female
Address
725 E. Main St., Somerton, AZ, 85350-0634
Phone Number
928-627-4525
Fax Number
Provider Enumeration Date
01/03/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
725 E. Main St.
City
Somerton
State
Arizona
Zip
85350-0634
Phone Number
928-627-4525
Fax Number
person
Provider Business Mailing Address Details
Address
725 E. Main St.
City
Somerton
State
Arizona
Zip
85350-0634
Phone Number
928-627-4525
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
2571I (Arizona)
Definition
Definition to come...
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