Individual
GUOMIN JIANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4940 HAZELWOOD AVE, LOUISVILLE, KY 40214-1270
(502) 368-3937
Mailing address
4940 HAZELWOOD AVE, LOUISVILLE, KY 40214-1270
(502) 368-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2159DT
KY
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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