Individual
CRYSTAL KIMIKO TOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
7075 N SHARON AVE, FRESNO, CA 93720-3329
(559) 486-2000
(559) 256-8595
Mailing address
7075 N SHARON AVE, FRESNO, CA 93720-3329
(559) 486-2000
(559) 256-8595
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
34158TLG
CA
Other
Enumeration date
08/01/2018
Last updated
02/22/2021
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