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Individual

DR. STEFANIE MICHELLE CHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
230 MINOR HL, BERKELEY, CA 94720-0001
(510) 642-2020
Mailing address
230 MINOR HL, BERKELEY, CA 94720-0001
(510) 642-2020

Taxonomy

Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
15237
CA

Other

Enumeration date
06/12/2015
Last updated
06/12/2015
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