Individual provider · NPI-1

Zipporah Balete, OD

Optometrist · Santa Maria, CA

NPI number1851971980
StatusActive
Last updated in NPPESApr 13, 2021

Details

NPI
1851971980
Entity type
Individual (NPI-1)
Name
Zipporah Balete
Credential
OD
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 13, 2021
Certification date
Apr 13, 2021
Last updated
Apr 13, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist34796CAYes

Practice location

1700 S Bradley Rd
Santa Maria, CA 93454-8001

Phone 805-925-1092 · Fax 805-925-4664

Mailing address

1700 S Bradley Rd
Santa Maria, CA 93454-8001

Phone 805-925-1092

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