Individual
GAGANJOT VIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
231 C ST, DAVIS, CA 95616-4521
(530) 758-4000
(530) 758-4016
Mailing address
231 C ST, DAVIS, CA 95616-4521
(530) 758-4000
(530) 758-4016
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
34204-TLG
CA
Other
Enumeration date
07/19/2018
Last updated
06/04/2024
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