NPI Profile for EDGARD CANEVARO in VAN NUYS, CA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Optician |
156FX1800X | 96[5] | Optician |
| NPI # | 1801657093 |
|
| Status | Active | |
| Credentials | ABOC | |
| Entity | Individual | |
| Enumeration date | 01/16/2024 | |
| Last updated | 01/16/2024 - About 2 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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EDGARD CANEVARO
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