Individual
LONG D VU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6410-1 FAIR OAKS BLVD, CARMICHAEL, CA 95608-4017
(916) 484-1080
(916) 484-0604
Mailing address
6410-1 FAIR OAKS BLVD, CARMICHAEL, CA 95608-4017
(916) 484-1080
(916) 484-0604
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DX4002
CA
Other
Enumeration date
03/05/2007
Last updated
09/08/2011
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