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Individual

JENNIFER Y CHANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
2200 EASTRIDGE LOOP, STE 1078, SAN JOSE, CA 95122-1410
(408) 270-6161
Mailing address
18985 TUGGLE AVE, CUPERTINO, CA 95014-3658
(408) 255-7785

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT9658T
CA

Other

Enumeration date
10/26/2006
Last updated
07/08/2007
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