Kathrine Vidaurri
Optometrist in San Diego, CA. Individual provider (NPI-1).
NPI number1861966293
StatusActive
Last updated in NPPESJan 18, 2019
Details
- NPI
- 1861966293
- Entity type
- Individual (NPI-1)
- Name
- Kathrine Vidaurri
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 18, 2019
- Last updated
- Jan 18, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 9964 | CA | Yes |
Practice location
3588 Torrey View CtSan Diego, CA 92130-2635
Phone 858-222-2355
Mailing address
3588 Torrey View CtSan Diego, CA 92130-2635
Phone 858-222-2355
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