Individual
CRYSTAL TINA LEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1418 POLK ST, SAN FRANCISCO, CA 94109-4616
(415) 776-5872
Mailing address
1418 POLK ST, SAN FRANCISCO, CA 94109-4616
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
13966
CA
Other
Enumeration date
08/02/2010
Last updated
01/03/2022
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