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Individual
MONICA VU
Active
Individual
MONICA VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT33556TLG
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12490
STATEMENT OF LICENSURE
CA
01
—
OPT33556TLG
CALIFORNIA STATE OPTOMETRY LICENSE
CA
Enumeration date
07/05/2016
Last updated
03/17/2018
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