Individual
CAM TIEU NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1007 SKYWAY DR STE A, MONROE, NC 28110-3051
(704) 289-1547
Mailing address
PO BOX 207261, DALLAS, TX 75320-7261
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2764
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2023
Last updated
09/12/2023
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