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Search › California › 152W00000X

Visaka Inthavong, OD

NPI 1831851120 · on the registry since 2021

Practice

Address
305 Pollasky Ave
Clovis, CA 93612
Phone
(559) 298-2120
Organisation at this address
Steven W Shute O D Inc
Susan D Mencarini & Jay A Newsome
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-08-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California