Individual
KHANH NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
13055 W RANCHO SANTA FE BLVD, AVONDALE, AZ 85392-1700
(623) 535-4215
(623) 535-4234
Mailing address
13055 W RANCHO SANTA FE BLVD, AVONDALE, AZ 85392-1700
(623) 535-4215
(623) 535-4234
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046.009930
IL
152W00000X
Optometrist
Primary
OPT-002643
AZ
Other
Enumeration date
02/08/2007
Last updated
06/27/2024
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