Jean Marie Wang Mengoli O.D.

NPI 1629116827 - Optometrist - 152W00000X

NPI Details
NPI 1629116827
Gender Female
Enumeration Date 02/01/2007
Last Updated 01/13/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
4405 VANDEVER AVE
SAN DIEGO CA, 92120-3315, US
Phone (503) 936-4136
Fax
Business Location
4405 VANDEVER AVE
SAN DIEGO CA, 92120-3315, US
Phone (503) 936-4136
Fax
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 11975T
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According to our database, Dr. Jean Marie Wang Mengoli O.D. NPI is 1629116827, taxonomy code is 152W00000X and license number is 11975T, license state is located at California. Jean Marie Wang Mengoli O.D. physically located at 4405 Vandever Ave, San Diego CA, 92120-3315. NPI Number Jean Marie Wang Mengoli O.D. has the Individual type.

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1629116827 NPI number is provided on an as is basis without warranty of any kind. 1629116827 is maintained by the National Plan & Provider Enumeration System. The contents of Jean Marie Wang Mengoli O.D. are for informational purposes only.