Phenny Sioe-phing Kwan OD

NPI 1083665103 - Optometrist - 152W00000X

NPI Details
NPI 1083665103
Gender Female
Enumeration Date 05/13/2006
Last Updated 05/19/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
1555 WEBSTER ST.,
SUITE D
FAIRFIELD CA, 94533-4934, US
Phone (707) 429-9661
Fax (707) 429-9666
Business Location
1555 WEBSTER ST.,
SUITE D
FAIRFIELD CA, 94533-4934, US
Phone (707) 429-9661
Fax (707) 429-9666
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 5975T
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According to our database, Dr. Phenny Sioe-phing Kwan OD NPI is 1083665103, taxonomy code is 152W00000X and license number is 5975T, license state is located at California. Phenny Sioe-phing Kwan OD physically located at 1555 Webster St.,, Fairfield CA, 94533-4934. NPI Number Phenny Sioe-phing Kwan OD has the Individual type.

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1083665103 NPI number is provided on an as is basis without warranty of any kind. 1083665103 is maintained by the National Plan & Provider Enumeration System. The contents of Phenny Sioe-phing Kwan OD are for informational purposes only.