Individual
DR. CLIFFORD WAYNE UPSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3250 W GRANT LINE RD, TRACY, CA 95304-8427
(209) 836-3937
(209) 836-3466
Mailing address
3250 W GRANT LINE RD, TRACY, CA 95304-8427
(209) 836-3937
(209) 836-3466
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12241T
CA
Other
Enumeration date
06/25/2008
Last updated
06/25/2008
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