Individual
AMY T MA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
10969 N WOLFE RD, CUPERTINO, CA 95014-0617
(408) 873-1718
Mailing address
10969 N WOLFE RD, CUPERTINO, CA 95014-0617
(408) 873-1718
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT12167TPA
CA
Other
Enumeration date
01/18/2007
Last updated
06/17/2016
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