SUSANA CHAN

PROVIDENCE, RI
NPI1619002854
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: RI  ODTG00518)
Enumeration Date2007-02-21
Last Update Date2010-12-22
Business Address
-- SUSANA CHAN OD
891 WESTMINSTER ST
PROVIDENCE, RI 02903-4020
Phone number: 401-331-7850
Mailing Address
-- SUSANA CHAN OD
891 WESTMINSTER ST
PROVIDENCE, RI 02903-4020
Phone number: 401-331-7850