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Individual
DR. TAMAMI CANDI KIMURA
Active
Individual
DR. TAMAMI CANDI KIMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12216T
CA
152WV0400X
Vision Therapy Optometrist
12216T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD217
MEDICARE PTAN
CA
Enumeration date
05/30/2007
Last updated
10/16/2017
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