Organization
KATHY VU NGO, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY VU (MEMBER)
(347) 733-4797
Entity
Organization
Contact information
Practice address
11851 N 51ST AVE, SUITE 120, GLENDALE, AZ 85304-2809
(623) 414-6476
Mailing address
11851 N 51ST AVE, SUITE 120, GLENDALE, AZ 85304-2809
(623) 414-6476
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1631
AZ
Other
Enumeration date
06/26/2014
Last updated
06/26/2014
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