Kirk D Wallis, RDO
Kirk D Wallis, RDO is an Optician in Lancaster, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
44407 10th St WLancaster, CA 93534-3345
Phone: (661) 942-6515
Fax: (661) 723-9293
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Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence 6273 (CA) |
|---|
Record details
| NPI number | 1649315920 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | RDO |
| Sole proprietor | Yes |
| NPI enumerated | February 21, 2007 |
| Last updated in NPPES | September 18, 2012 |
| Mailing address | 44407 10th St W, Lancaster, CA 93534-3345 |
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