Individual
MISS CHI NGOC QUANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4041 E CASTRO VALLEY BLVD, CASTRO VALLEY, CA 94552-4840
(510) 881-8343
Mailing address
4041 E CASTRO VALLEY BLVD, CASTRO VALLEY, CA 94552-4840
(510) 881-8343
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
13373
CA
Other
Enumeration date
06/11/2009
Last updated
03/29/2011
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