Individual
MISS HAN LE DUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
713 BLACKFOOT CT, SAN JOSE, CA 95123-4105
(408) 204-9095
Mailing address
630 BLOSSOM HILL RD STE 20, SAN JOSE, CA 95123-3056
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
14163
CA
Other
Enumeration date
07/02/2011
Last updated
07/17/2016
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