ETHAN S DIEP

CHULA VISTA, CA
NPI1639467467
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: CA  14173)
Enumeration Date2011-07-14
Last Update Date2021-12-01
Business Address
Dr. ETHAN S DIEP O.D.
878 EASTLAKE PKWY STE 1011
CHULA VISTA, CA 91914-4546
Phone number: 619-216-4582
Mailing Address
Dr. ETHAN S DIEP O.D.
878 EASTLAKE PKWY STE 1011
CHULA VISTA, CA 91914-4546
Phone number: 619-216-4582
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