Individual
ANNA MYRA WONG LAZARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDO
Contact information
Practice address
29270 UNION CITY BLVD, UNION CITY, CA 94587-1209
(510) 475-5882
Mailing address
29270 UNION CITY BLVD, UNION CITY, CA 94587-1209
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
D7385
CA
Other
Enumeration date
10/06/2009
Last updated
10/06/2009
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