MS. Glenda Ediesca Ong, O.D.

NPI #1336303700 in Beaumont, California

Provider Information

NPI Number: 1336303700
Entity Type: Individual
Name: MS. Glenda Ediesca Ong, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jul 15, 2008
Last Updated: Jul 15, 2008

Practice Location

Address: 1540 E 2ND ST
City: Beaumont
State: California
ZIP Code: 92223-3101
Phone: (951) 845-6857

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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