ELAINE PYNG OETOMO

GLENDALE, AZ
NPI1235798174
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: AZ  OPT-002345)
Enumeration Date2019-06-12
Last Update Date2024-01-24
Business Address
ELAINE PYNG OETOMO
9340 W NORTHERN AVE STE 120
GLENDALE, AZ 85305-1148
Phone number: 602-794-1608
Mailing Address
ELAINE PYNG OETOMO
39 DEER TRAK
IRVINE, CA 92618-8812
Phone number:
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