Individual
HOA TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
14400 BEAR VALLEY RD, SUITE 357, VICTORVILLE, CA 92392-5470
(760) 955-6714
Mailing address
14400 BEAR VALLEY RD, SUITE 357, VICTORVILLE, CA 92392-5470
(760) 955-6714
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
14895
CA
Other
Enumeration date
08/22/2014
Last updated
08/22/2014
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