Prudence Tam, OD Valid NPI
Individual provider · Optometrist · Rancho Cucamonga, CA
- NPI
- 1093497588
- Type
- Individual (Type 1)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- 35217 (CA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2023-08-03
- Last updated
- 2025-04-09
Practice location
8977 Foothill Blvd Ste C
Rancho Cucamonga, CA 91730-3498
(909) 987-4919