MISS Vivian Yen Iles, O.D.
NPI #1952604357 in Manteca, California
Provider Information
- NPI Number
- 1952604357
- Entity Type
- Individual
- Name
- MISS Vivian Yen Iles, O.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Optometrist
- Credential
- O.D.
- Enumeration Date
- Dec 8, 2010
- Last Updated
- Feb 11, 2022
Practice Location
- Address
- 302 NORTHGATE DR
- City
- Manteca
- State
- California
- ZIP Code
- 95336-3139
- Phone
- (866) 682-4842
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
| Student in an Organized Health Care Education/Training Program |
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