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Individual

MISS CHRISTINE ANH MAI NGUYEN-LE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
4200 CHINO HILLS PKWY, STE 810, CHINO HILLS, CA 91709-3785
(909) 479-8111
Mailing address
15382 WILSON ST, WESTMINSTER, CA 92683-6341
(714) 548-1481

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11519
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SD0115190
CA
Enumeration date
11/21/2006
Last updated
01/04/2020
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