Individual
DIANE TONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1108 E STATE HIGHWAY 152, MUSTANG, OK 73064-5116
(405) 376-2429
Mailing address
3517 WALDEN ESTATES DR, OKLAHOMA CITY, OK 73179-1411
(405) 488-5685
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3204
OK
Other
Enumeration date
03/31/2022
Last updated
02/20/2023
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