JENNIE JESSICA FAN

LOS ANGELES, CA
NPI1801093570
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: CA  13246)
Enumeration Date2007-06-27
Last Update Date2007-07-08
Business Address
Dr. JENNIE JESSICA FAN OD
1300 N VERMONT AVE DOCTOR'S TOWER, SUITE 101
LOS ANGELES, CA 90027-6005
Phone number: 323-667-2102
Mailing Address
Dr. JENNIE JESSICA FAN OD
28281 SOMERSET
MISSION VIEJO, CA 92692-2889
Phone number: 949-581-2239
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