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Organization
MINA CHEN OD CORP
Active
Organization
MINA CHEN OD CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MINA CHEN OD (OPTOMETRIST, OWNER)
(510) 709-7294
Entity
Organization
Contact information
Practice address
157 PETALUMA BLVD N, PETALUMA, CA 94952-2904
(707) 285-7475
(707) 285-7476
Mailing address
561 CARLSON AVE APT 332, ROHNERT PARK, CA 94928-2801
(510) 709-7294
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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