Wallace, Jamila Shani
Wallace, Jamila Shani is an individual health care provider with primary practice located at 1103 Fair Oaks Ave , South Pasadena CA 91030-3311. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Wallace, Jamila Shani can be contacted via phone (626) 441-0770.Contact Information
Primary practice address
1103 Fair Oaks Ave
South Pasadena CA 91030-3311
Phone: (626) 441-0770
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 34793 | California |
Profile Details
| NPI number | 1033798079 |
|---|---|
| LBN Legal business name | Wallace, Jamila Shani |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2021 |
| Last updated | Apr 6th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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