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Individual

ANNIE CHANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
1931 DWIGHT WAY, APT 20, BERKELEY, CA 94704-1973
(310) 619-1266
Mailing address
1931 DWIGHT WAY, APT 20, BERKELEY, CA 94704-1973
(310) 619-1266

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
13962
CA

Other

Enumeration date
07/06/2010
Last updated
07/06/2010
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