Individual
GRACE HUYNH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
140 W VALLEY BLVD STE 115, SAN GABRIEL, CA 91776-3784
(626) 288-8023
Mailing address
14282 STARSIA ST, WESTMINSTER, CA 92683-5125
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT34664-TLG
CA
Other
Enumeration date
09/17/2020
Last updated
09/29/2020
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