Irene Diep OD

NPI 1194915272 - Optometrist - 152W00000X

NPI Details
NPI 1194915272
Gender Female
Enumeration Date 07/26/2007
Last Updated 04/23/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
MANASSAS VA, 20109-8036, US
Phone (703) 218-8036
Fax (703) 218-9841
Business Location
11103 WEST AVE
SAN ANTONIO TX, 78213-1370, US
Phone (210) 524-6509
Fax (210) 524-6587
Taxonomy Code 152W00000X
License State Virginia
License Number 0618001638
Remove 1194915272 NPI Number

According to our database, Irene Diep OD NPI is 1194915272, taxonomy code is 152W00000X and license number is 0618001638, license state is located at Virginia. Irene Diep OD physically located at 8125 Sudley Rd, Manassas VA, 20109-8036. NPI Number Irene Diep OD has the Individual type.

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1194915272 NPI number is provided on an as is basis without warranty of any kind. 1194915272 is maintained by the National Plan & Provider Enumeration System. The contents of Irene Diep OD are for informational purposes only.