Individual provider · NPI-1

Klara Bezverkh

Technician/Technologist, Optician · San Francisco, CA

NPI number1356569214
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1356569214
Entity type
Individual (NPI-1)
Name
Klara Bezverkh
Sex
Female
Sole proprietor
No
Enumeration date
Apr 23, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, Opticiand6728CAYes

Practice location

2186 Geary Blvd Ste 102
San Francisco, CA 94115-3456

Phone 415-921-3222 · Fax 415-921-3227

Mailing address

2186 Geary Blvd Ste 102
San Francisco, CA 94115-3456

Phone 415-921-3222 · Fax 415-921-3227

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