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Individual

JAN TUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
140 W VALLEY BLVD, #115, SAN GABRIEL, CA 91776-3760
(626) 288-8023
(626) 288-8326
Mailing address
140 W VALLEY BLVD, #115, SAN GABRIEL, CA 91776-3760
(626) 288-8023
(626) 288-8326

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
14400
CA

Other

Enumeration date
07/17/2012
Last updated
05/22/2013
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