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Individual

DAPHNE CHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
200 MINOR HL, UNIVERSITY OF CALIFORNIA, BERKELEY, BERKELEY, CA 94720-0001
(510) 642-0945
Mailing address
200 MINOR HL, UNIVERSITY OF CALIFORNIA, BERKELEY, BERKELEY, CA 94720-0001

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
8702591-9934
UT
152W00000X
Optometrist
Primary
OPT 15061 TLG
CA

Other

Enumeration date
07/12/2013
Last updated
07/18/2014
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