Individual
DR. VICKIE FANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
880 RUSSELL AVE, GAITHERSBURG, MD 20879-3506
(301) 556-1973
(301) 556-1968
Mailing address
880 RUSSELL AVE, GAITHERSBURG, MD 20879-3506
(301) 556-1973
(301) 556-1968
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
DA1359
MD
Other
Enumeration date
07/15/2008
Last updated
07/15/2008
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