Individual
CINDY QUYEN THAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
NAVY AIR STATION NORTH ISLAND, BUILDING 2017, SAN DIEGO, CA 92135-9213
(619) 313-2089
Mailing address
NAVY AIR STATION NORTH ISLAND, BUILDING 2017, SAN DIEGO, CA 92135-1202
(619) 313-2089
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
13602
CA
152W00000X
Optometrist
WA 60146389
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316103633
—
CA
Enumeration date
08/06/2008
Last updated
10/17/2019
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