Tracy Chan
NPI #1992114565 in San Bruno, California
Provider Information
- NPI Number
- 1992114565
- Entity Type
- Individual
- Name
- Tracy Chan
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Optometrist
- Enumeration Date
- Aug 8, 2014
- Last Updated
- Aug 8, 2014
Practice Location
- Address
- 476 SAN MATEO AVE
- City
- San Bruno
- State
- California
- ZIP Code
- 94066-4437
- Phone
- (650) 589-4130
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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