Individual
DR. LOAN TRUC CAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3200 LAS VEGAS BLVD S STE 1620, LAS VEGAS, NV 89109-0739
(702) 732-8233
Mailing address
11438 ELMCREST ST, EL MONTE, CA 91732-1807
(626) 898-2360
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1086
NV
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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