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Individual

JEFFREY K HA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
500 SOUTHLAND MALL, HAYWARD, CA 94545-2148
(510) 887-2800
(510) 887-2812
Mailing address
1320 NORTHSIDE AVE, BERKELEY, CA 94702-1120
(510) 508-6284

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12579
CA

Other

Enumeration date
01/11/2007
Last updated
07/08/2007
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