Visaka Dianna Inthavong
ActiveCalifornia license 35045
License
- Licensed by
- California State Board of Optometry
- License number
- 35045
- Status
- Active (Current)
- First issued
- October 11, 2021
- Expires
- October 31, 2027
- License holder
- Visaka Dianna Inthavong
- Entity type
- Individual
Classifications
- optometry/Optometrist Optometrist Vision & Hearing
More from the license record
- License type code
- 4201
Contact
305 Pollasky Ave
Clovis, CA 93612-1139
Clovis, CA 93612-1139
Fresno County