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Individual

DR. DARLENE TAEKO OKURA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
3505 SONOMA BLVD, SUITE #30, VALLEJO, CA 94590-2920
(707) 643-1003
Mailing address
3505 SONOMA BLVD, SUITE #30, VALLEJO, CA 94590-2920
(707) 643-1003

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9329T
CA
152WC0802X
Corneal and Contact Management Optometrist
9329T
CA
152WP0200X
Pediatric Optometrist
9329T
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SD0093290
CA
Enumeration date
03/07/2007
Last updated
10/06/2011
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