Individual
GRACE TSENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
200 MINOR HALL UNIVERSITY OF CALIFORNIA AT BERKELEY, BERKELEY, CA 94720-0001
(510) 642-0945
Mailing address
2330 WARRING ST APT 122, BERKELEY, CA 94704-1803
(702) 209-1476
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
34634
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
05/29/2020
Last updated
08/14/2020
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