Individual
BICH LAN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
17264 FOOTHILL BLVD, SUITE E, FONTANA, CA 92335-9050
(909) 355-8883
Mailing address
17264 FOOTHILL BLVD, SUITE E, FONTANA, CA 92335-9050
(909) 355-8883
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
14966
CA
Other
Enumeration date
07/24/2014
Last updated
12/06/2021
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