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Individual

BRITTANY NGUYEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O. D.

Contact information

Practice address
815 BROADWAY, OAKLAND, CA 94607-4015
(510) 465-5876
Mailing address
7082 EMERSON LN, SAN RAMON, CA 94582-5665
(408) 828-5005

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 10398 TPA
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SD0103981
CA
Enumeration date
08/13/2006
Last updated
01/11/2021
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