Jessica Mercado Archambault, O.D. Valid NPI

Individual provider · Optometrist · Rancho Cucamonga, CA

NPI

1780008508

Type

Individual (Type 1)

Primary specialty

Optometrist

Specialty group

Eye and Vision Services Providers

Taxonomy code

152W00000X

License number

14819 (CA)

Sex

Female

Sole proprietor

No

Enumerated

2014-02-13

Last updated

2014-09-04