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Individual
DR. JUDY NGUYEN
Active
Individual
DR. JUDY NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
14043-T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12215856
ANTHEM BLUE CROSS
CA
01
—
14043-T
CALIFORNIA BOARD OF OPTOMETRY LICENSE #
CA
01
—
SD0140430
BLUE OF CALIFORNIA
—
Enumeration date
07/29/2010
Last updated
11/11/2021
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