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Individual
MARIA UY
Active
Individual
MARIA UY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
14858
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12666944
CAQH PROVIDER ID
CA
Enumeration date
03/26/2014
Last updated
03/02/2021
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