Individual
CHARLES GAMBOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1776 EYE ST NW, WASHINGTON, DC 20006-3700
(202) 331-3931
(202) 331-3932
Mailing address
1950 OLD GALLOWS RD, 520, VIENNA, VA 22182-3990
(703) 847-8899
(703) 847-8899
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002328
VA
Other
Enumeration date
06/27/2014
Last updated
03/17/2018
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