Individual
HEATHER SIU SHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 E GARVEY AVE STE 109, MONTEREY PARK, CA 91755-1859
(626) 288-5045
Mailing address
200 E GARVEY AVE STE 109, MONTEREY PARK, CA 91755-1859
(626) 288-5045
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
SLD5894
CA
Other
Enumeration date
05/03/2020
Last updated
05/03/2020
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