Individual
JUSTIN F CHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
(505) 722-1397
Mailing address
PO BOX 1337, DEPT 18 (EYE CLINIC), GALLUP, NM 87305-1337
(505) 722-1000
(505) 722-1397
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0002990
CO
Other
Enumeration date
08/02/2013
Last updated
12/17/2021
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