Individual provider · NPI-1

Jeanine Marie Adams, A.B.O.C.,R.D.O.

Technician/Technologist, Optician · Mountain View, CA

NPI number1417344888
StatusActive
Last updated in NPPESApr 23, 2015

Details

NPI
1417344888
Entity type
Individual (NPI-1)
Name
Ms. Jeanine Marie Adams
Credential
A.B.O.C.,R.D.O.
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 23, 2015
Last updated
Apr 23, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, Optician–CAYes

Practice location

809-B Cuesta Drive #2175
Mountain View, CA 94040

Phone 650-933-8030

Mailing address

809-B Cuesta Drive #2175
Mountain View, CA 94040

Phone 650-933-8030

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