Individual
DR. CHRISTINA VIGIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1178 EL CAMINO REAL, SAN BRUNO, CA 94066-2406
(650) 553-8867
(650) 871-5919
Mailing address
1178 EL CAMINO REAL, SAN BRUNO, CA 94066-2406
(650) 553-8867
(650) 871-5919
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10175T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0101750
—
CA
Enumeration date
11/26/2006
Last updated
07/08/2007
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