Individual
CRYSTAL WANG WEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
200 MINOR LANE, BERKELEY, CA 94720-2020
(510) 642-2020
(510) 642-8012
Mailing address
200 MINOR LANE, BERKELEY, CA 94720-0001
(510) 642-2020
(510) 642-8012
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
33916TLG
CA
152W00000X
Optometrist
9284
TX
Other
Enumeration date
07/07/2017
Last updated
04/19/2021
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