Individual
DIANA HO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
980 OLIVER STREET, WICHITA, KS 67218
(316) 221-3008
Mailing address
980 S OLIVER AVE, WICHITA, KS 67218-3216
(316) 221-3008
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
10057
TX
152W00000X
Optometrist
Primary
2120
KS
Other
Enumeration date
07/03/2020
Last updated
05/07/2021
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