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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DENISE DILTS-WALDROP

Active Sole Proprietor

DENISE DILTS-WALDROP is a Optician, Dispensing healthcare provider located in SHASTA LAKE, California. NPI 1851812267 is currently active in the NPPES registry. Verify at CMS.

Optician, Dispensing · SHASTA LAKE, CA

Registration Details

NPI Number
1851812267
Provider Type
Individual
Gender
Female
NPI Issued
Jul 6, 2017 (8.9233172190221 yrs)
Last Updated
Jul 21, 2022
License
SL5482 (CA)
Sole Proprietor
Yes

Practice Information

Address
4626 SHASTA DAM BLVD
SHASTA LAKE, CA, 960199414
Browse CA providers · Browse ZIP 96019
Phone
5302750866
Fax
5302758596
Primary Specialty
Optician, Dispensing
156FX1800X

Other Optician, Dispensing Providers in SHASTA LAKE, CA

Name Credential NPI
MR. GARY DANIEL WALDROP OPTICIAN 1861516007
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.