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Individual
WAY YU
Active
Individual
WAY YU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
13793
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891925459
NPI
CA
01
—
CE491Z
PTAN
CA
Enumeration date
07/16/2009
Last updated
12/09/2010
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