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Individual
SALENA KIM QUACH
Active
Individual
SALENA KIM QUACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
10358
TX
152W00000X
Optometrist
Primary
34983
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10358
TEXAS OPTOMETRY BOARD
TX
01
—
34983
CALIFORNIA BOARD OF OPTOMETRY
CA
05
—
425425201
—
TX
Enumeration date
06/24/2021
Last updated
10/27/2023
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