Individual
ANNE THU BUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
12715 MAIN ST STE 740, HESPERIA, CA 92345-9133
(714) 260-5310
Mailing address
1917 W HOUSTON AVE, FULLERTON, CA 92833-4468
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
13045766-9934
UT
152W00000X
Optometrist
Primary
1979-925AT
LA
152W00000X
Optometrist
33710TLG
CA
Other
Enumeration date
06/19/2017
Last updated
10/15/2024
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