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MELODY AGBUYA-FLORES O.D.

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1780946012

Individual Registrant:
 MELODY  AGBUYA-FLORES O.D.
Gender: F
Sole Proprietor

Location and contact information for practice:
1665 DOMINICAN WAY SUITE 122 SANTA CRUZ, CA 95065-1580 US
Tel: 831-476-1298  Fax: --

Contact information for business:
1665 DOMINICAN WAY SUITE 122 SANTA CRUZ, CA 95065-1580 US
Tel: 831-476-1298  Fax: --

Registration Information:
NPI: 1780946012
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
CA14419TLG

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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