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Individual
MRS. ANH V TA
Active
Individual
MRS. ANH V TA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1870-805AT
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1870-805AT
—
LA
Enumeration date
08/02/2018
Last updated
09/14/2022
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