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Individual

DR. HENRY HOAI TRUONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
140 N FREMONT ST, STE # 1, MANTECA, CA 95336-4729
(209) 823-3151
(209) 823-3151
Mailing address
140 N FREMONT ST, STE # 1, MANTECA, CA 95336-4729
(209) 823-3151
(209) 823-3151

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
13605TPA
CA
152WP0200X
Pediatric Optometrist
Primary
13605TPA
CA

Other

Enumeration date
09/08/2008
Last updated
09/08/2008
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