Individual
HERRICK DUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3350 LA JOLLA VILLAGE DR # 112G, SAN DIEGO, CA 92161-0002
(858) 552-8585
Mailing address
3350 LA JOLLA VILLAGE DR # 112G, SAN DIEGO, CA 92161-0002
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
34520TLG
CA
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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