Individual
MS. GLENDA EDIESCA ONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1540 E 2ND ST, BEAUMONT, CA 92223-3101
(951) 845-6857
(951) 769-9718
Mailing address
1540 E 2ND ST, BEAUMONT, CA 92223-3101
(951) 845-6857
(951) 769-9718
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 13520
CA
Other
Enumeration date
07/15/2008
Last updated
07/15/2008
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