MR. Gary Daniel Waldrop, OPTICIAN
NPI #1861516007 in Shasta Lake, California
Provider Information
- NPI Number
- 1861516007
- Entity Type
- Individual
- Name
- MR. Gary Daniel Waldrop, OPTICIAN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician/Technologist - Optician
- Credential
- OPTICIAN
- Enumeration Date
- Mar 16, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 4601 SHASTA DAM BLVD
- City
- Shasta Lake
- State
- California
- ZIP Code
- 96019-9413
- Phone
- (530) 275-8581
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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