Individual
MS. CECILIA K IMAMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
55 E JULIAN ST, SAN JOSE, CA 95112-4007
(408) 918-2618
(408) 795-1129
Mailing address
10537 MANZANITA CT, CUPERTINO, CA 95014-6579
(650) 968-4352
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9902
CA
Other
Enumeration date
12/07/2009
Last updated
12/07/2009
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