Shanida Patsamarn Ingalla
ActiveCalifornia license 12182
License
- Licensed by
- California State Board of Optometry
- License number
- 12182
- Status
- Active (Current)
- First issued
- August 6, 2002
- Expires
- May 31, 2028
- License holder
- Shanida Patsamarn Ingalla
- Entity type
- Individual
Classifications
- optometry/Optometrist Optometrist Vision & Hearing
More from the license record
- License type code
- 4201
Contact
32803 Lake Mead Dr
Fremont, CA 94555-1227
Fremont, CA 94555-1227
Alameda County