Individual
JACQUELYN LIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
770 SCOTT BLVD, SANTA CLARA, CA 95050-6927
(408) 296-0511
Mailing address
218 E WARREN CMN, FREMONT, CA 94539-7085
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
35069
CA
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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