Individual
DR. JESSICA DUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4294 RIVERWALK PKWY, SUITE 204, RIVERSIDE, CA 92505-8508
(909) 225-7499
Mailing address
4294 RIVERWALK PKWY, SUITE 204, RIVERSIDE, CA 92505-8508
(909) 225-7499
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
14233TLG
CA
152WC0802X
Corneal and Contact Management Optometrist
Primary
14233
CA
152WP0200X
Pediatric Optometrist
14233TLG
CA
152WS0006X
Sports Vision Optometrist
14233TLG
CA
152WX0102X
Occupational Vision Optometrist
14233TLG
CA
Other
Enumeration date
07/19/2011
Last updated
10/05/2015
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