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Licensing details for: 41085

Name: HOM, NATALIE NGADIEP

License Type: Registered Spectacle Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

2880 Cortina Way
UNION CITY CA 94587-1552
ALAMEDA county
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Issuance Date

February 19, 2018

Expiration Date

February 28, 2026

Current Date / Time

November 6, 2025
4:33:32 AM

License Relationships

RDO to Registered Spectacle Lens Dispenser

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: COSTCO WHOLESALE #1042

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6820 Primary Status: Current

Address :
2300 MIDDLEFIELD RD
REDWOOD CITY CA 94063
SAN MATEO COUNTY

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SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Contact Lens Dispenser

Name: HOM, NATALIE NGADIEP

License/Registration Type: Registered Contact Lens Dispenser

License Number: 8378 Primary Status: Current

Address :
2880 CORTINA WAY
UNION CITY CA 94587
ALAMEDA COUNTY

Map

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