Individual
CONNIE HUSSERL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2709 STONERIDGE DR STE 112, PLEASANTON, CA 94588-8358
(925) 462-1100
Mailing address
8467 DEERVALE RD, DUBLIN, CA 94568-1021
(805) 268-4743
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
34516
CA
Other
Enumeration date
04/09/2020
Last updated
07/07/2020
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