Individual
VIENGSAMAY J CHAMLEUNSOUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601-635 HARRY L DR, STERLING OPTICAL, JOHNSON CITY, NY 13790
(607) 729-9179
Mailing address
864 RIVERSIDE DR, JOHNSON CITY, NY 13790-1824
(607) 770-8580
Taxonomy
Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
Primary
0083201
NY
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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