Individual
MS. ANNIE DIEM HANG NGOC LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2873 39TH ST, SAN DIEGO, CA 92105-4009
(619) 565-7102
Mailing address
2873 39TH ST, SAN DIEGO, CA 92105-4009
(619) 565-7102
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 14917 TLG
CA
Other
Enumeration date
06/24/2014
Last updated
06/24/2014
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